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The burden of traumatic brain injury from low-energy falls among patients from 18 countries in the CENTER-TBI Registry: A comparative cohort study

PLoS Medicine Oct 08, 2021

Lecky FE, Otesile O, Marincowitz C, et al. - Researchers aimed at describing the prevalence of low-energy falls among patients presenting to hospital with TBI, and comparing these individuals with those presenting with TBI caused by high-energy trauma with respect to their characteristics, care pathways, and outcomes.

  • Researchers herein used an efficient registry methodology to study 21,681 patients with TBI presenting to 56 hospital emergency departments across Europe and Israel.

  • Among patients sustaining TBI after low-energy falls, 40% were significantly older; these patients were, in large proportion, females, and were more frequently taking pre-injury drugs that prevent blood clotting when compared with patients with TBI sustained through high-energy transfer.

  • Patients injured through low-energy falls had similar rates of significant injury on the CT brain scan and similar risk of dying in hospital relative to those injured by high-energy transfer, however, the chances of receiving critical care or emergency intervention appeared nearly half for them.

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