Relevance of emergency head CT scan for fall in the elderly person

Fall of the elderly person is a public health problem. The objectives of our study were to evaluate the relevance of systematically performing in emergency a computed tomography (CT) scan for fall in the elderly person, to identify specific criteria predicting the appearance of lesions. We performed...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 2020-02, Vol.47 (1), p.54-58
Main Authors: Pages, Pierre-Jean, Boncoeur-Martel, Marie-Paule, Dalmay, François, Salle, Henri, Caire, François, Mounayer, Charbel, Rouchaud, Aymeric
Format: Article
Language:English
Subjects:
Emergency
Geriatric
Life Sciences
Neurons and Cognition
Relevance
Traumatic brain injury
X-ray computed tomography
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Summary:Fall of the elderly person is a public health problem. The objectives of our study were to evaluate the relevance of systematically performing in emergency a computed tomography (CT) scan for fall in the elderly person, to identify specific criteria predicting the appearance of lesions. We performed a retrospective analysis of 500 consecutive patients aged 65 and over, who underwent an emergency head CT scan for fall from their height. Outcome at the end of the acute care, clinico-biological data and delays between trauma an d CT were collected, and crossed with a detection of head lesion on the CT scan. Of 500 patients, 38 (7.6%) had traumatic lesions depicted on the CT scan and 267 (53.4%) were hospitalized after the CT scan. Three (0.6%) had been operated for urgent head surgery. Nine of the 38 (23.6%) patients with traumatic lesion returned home. Presence of a lesion depicted on the CT scan was not correlated with the orientation of the patient (P 
ISSN:0150-9861
0195-6108
1936-959X
DOI:10.1016/j.neurad.2019.03.004