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Predictors of falls and mortality among elderly adults with traumatic brain injury: A nationwide, population-based study

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  • Wayne W Fu
  • Terence S Fu
  • Rowan Jing
  • Steven R McFaull
  • Michael D Cusimano

Abstract

Background: Elderly adults are at particular risk of sustaining a traumatic brain injury (TBI), and tend to suffer worse outcomes compared to other age groups. Falls are the leading cause of TBI among the elderly. Methods: We examined nationwide trends in TBI hospitalizations among elderly adults (ages 65 and older) between April 2006 and March 2011 using a population-based database that is mandatory for all hospitals in Canada. Trends in admission rates were analyzed using linear regression. Predictors of falls and in-hospital mortality were identified using logistic regression. Results: Between 2006 and 2011, there were 43,823 TBI hospitalizations resulting in 6,939 deaths among elderly adults in Canada. Over the five-year study period, the overall rate of TBI admissions increased by an average of 6% per year from 173.2 to 214.7 per 100,000, while the rate of fall-related TBI increased by 7% annually from 138.6 to 179.2 per 100,000. There were significant trends towards increasing age and comorbidity level (p

Suggested Citation

  • Wayne W Fu & Terence S Fu & Rowan Jing & Steven R McFaull & Michael D Cusimano, 2017. "Predictors of falls and mortality among elderly adults with traumatic brain injury: A nationwide, population-based study," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-15, April.
    • Handle: RePEc:plo:pone00:0175868
    DOI: 10.1371/journal.pone.0175868
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