Article ; Online: Acute traumatic brain injury in frail patients: the next pandemic.
Current opinion in critical care
2022 Volume 28, Issue 2, Page(s) 166–175
Abstract: Purpose of review: To highlight recent findings on the evaluation and impact of frailty in the management of patients with traumatic brain injury (TBI).: Recent findings: Frailty is not a direct natural consequence of aging. Rather, it commonly ... ...
Abstract | Purpose of review: To highlight recent findings on the evaluation and impact of frailty in the management of patients with traumatic brain injury (TBI). Recent findings: Frailty is not a direct natural consequence of aging. Rather, it commonly results from the intersection of age-related decline with chronic diseases and conditions. It is associated with adverse outcomes such as institutionalization, falls, and worsening health status. Growing evidence suggests that frailty should be a key consideration both in care planning and in adverse outcome prevention. The prevalence of elderly patients with TBI is increasing, and low-energy trauma (i.e., ground or low-level falls, which are typical in frail patients) is the major cause. Establishing the real incidence of frailty in TBI requires further studies. Failure to detect frailty potentially exposes patients to interventions that may not benefit them, and may even harm them. Moreover, considering patients as 'nonfrail' purely on the basis of their age is unacceptable. The future challenge is to shift to a new clinical paradigm characterized by more appropriate, goal-directed care of frail patients. Summary: The current review highlights the crucial importance of frailty evaluation in TBI, also given the changing epidemiology of this condition. To ensure adequate assessment, prevention and management, both in and outside hospital, there is an urgent need for a valid screening tool and a specific frailty-based and comorbidity-based clinical approach. |
---|---|
MeSH term(s) | Aged ; Brain Injuries, Traumatic/epidemiology ; Brain Injuries, Traumatic/therapy ; Comorbidity ; Frail Elderly ; Frailty/epidemiology ; Geriatric Assessment ; Humans ; Pandemics |
Language | English |
Publishing date | 2022-01-25 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 1235629-3 |
ISSN | 1531-7072 ; 1070-5295 |
ISSN (online) | 1531-7072 |
ISSN | 1070-5295 |
DOI | 10.1097/MCC.0000000000000915 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 4999: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.