Geriatric Mild Traumatic Brain Injury (mTBI)

McCulloch, Karen; Osborne, Mary Beth A.; Ramsey, Crystal

doi:10.1007/s13670-020-00329-3

Cited by 4 publications

(2 citation statements)

References 88 publications

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“…In addition, only one study focused on geriatric populations ( 72 ), even though falls are a primary cause of concussion, and common in older adults ( 104 , 105 ). Furthermore, older adults report more pre-existing cognitive impairments that make it difficult to treat and manage concussion ( 106 ), as well literature suggests older adults can experience poor quality of life post-concussion, due to factors such as reduced independence and difficulty in recovery due to comorbidities or frailty ( 107 ). As most studies (17/25) focused exclusively on individuals aged 19–60 years old, there is a need to conduct more studies that target pediatric and older adult populations in these critical life stages.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

et al. 2022

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Objective:Concussion is a common yet heterogenous injury. Approximately 15–30% of cases present with persistent post-concussion symptoms (PPCS), continuing 4 weeks or more post-injury in children, youth, and adolescents, and 3 months or more in adults. There are known bidirectional links between PPCS and mental health outcomes. The focus of this scoping review is to explore the literature on mental health outcomes in individuals experiencing PPCS. Research objectives were to explore: (1) the mental health outcomes of individuals with PPCS and types of assessments used to identify mental health outcomes this group, and (2) how mental health outcomes compare in terms of similarities and differences among pediatric and adult populations with PPCS.MethodOvid MEDLINE; EMBASE; CINAHL, and PsycInfo databases were searched. After title and abstract screening of 11,920 studies, 481 articles were reviewed. Twenty-five papers met inclusion criteria. Results were organized by mental health outcomes of pediatric and adult populations, separately.ResultsThere was a significantly higher number of studies devoted to adult populations. Of the 25 studies, 19 (76%) focused on adults, while six (24%) focused on adolescents. In adult populations, studies focused on symptoms of: anxiety (n = 2), depression (n = 8), and anxiety and depression (n = 9). Two studies assessed other emotional outcomes (10.5%). Within pediatric populations, an equal number of studies explored symptoms of: anxiety (n = 2), depression (n = 2), and anxiety and depression (n = 2). No studies focused on other emotional outcomes. Studies ranged greatly in methods, design, and control group. Most studies reported higher psychiatric symptoms of anxiety and/or depression in those with PPCS compared to individuals with recovered concussion or healthy controls.DiscussionThis review contributes to the understanding of mental health outcomes in those experiencing PPCS. Mental health and PPCS requires greater attention in pediatric populations, and consider strategies for those experiencing PPCS and mental health impacts. Future studies should consider including a wider range of emotional outcomes in their design, not limited to anxiety and depression. Study results may lead to improvements and research in the identification, assessment, and management of PPCS and mental health.

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Section: Discussionmentioning

confidence: 99%

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

et al. 2022

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“…In adult cohorts there is mixed evidence about whether intracranial injury impacts cognitive outcome (Iverson, 2006; Lange et al, 2009; Karr et al, 2020). In older cohorts, there is an increased risk of intracranial bleeding following trauma in older people compared to younger people (McCulloch et al, 2020) possibly due to age-associated changes in brain structure (Flanagan et al, 2005; Thompson et al, 2012; Karibe et al, 2017) and increased prescription of anticoagulant medications (Peck et al, 2014). Therefore, intracranial injury may be more likely (despite milder injury) potentially making it a less reliable indicator of brain injury severity than other measures of injury.…”

Section: Discussionmentioning

confidence: 99%

Cognitive performance in older people after mild traumatic brain injury: Trauma effects and other risk factors

Hume

Mitra

Wright

et al. 2022

J Int Neuropsychol Soc

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Objective: Cognitive symptoms are common in the initial weeks after mTBI, but recovery is generally expected within three months. However, there is limited information about recovery specifically in older age cohorts. Therefore, this study investigated cognitive outcome three months after mTBI in older adults (≥ 65 years) compared to trauma and community age-matched controls and explored risk factors for outcome after traumatic injury. Methods: Older mTBI patients (n = 40) and older adults with mild traumatic injury but without head injury (n = 66) were compared to a noninjured community control group (n = 47). Cognitive assessment included neuropsychological and computerized tests. Group differences were compared on individual tasks and overall cognitive performances using composite scores. Regression analyses identified predictors of outcome for trauma patients and moderator analyses explored possible interactions of mTBI severity with age and cognition. Results: As well as lower performances in processing speed and memory, both trauma groups had significantly lower performance on composite neuropsychological (d = .557 and .670) and computerized tasks (d = .783 and .824) compared to noninjured controls. Age, education, and history of depression were direct predictors of cognitive performance after mild traumatic injury (with or without head injury). Further moderation analysis demonstrated that mTBI severity (Glasgow Coma Scale < 15) moderated the impact of older age on computerized assessment (β = -.138). Conclusions: Three months after mild trauma (regardless of head injury), older people demonstrate lower cognition compared to noninjured peers. However, severity of mTBI (Glasgow Coma Scale < 15) can interact with older age to predict poorer cognitive outcomes.

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Besonderheiten der Gehirnerschütterung im Alter

Gänsslen

Schmehl

2023

Die Gehirnerschütterung

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Geriatric Mild Traumatic Brain Injury (mTBI)

Cited by 4 publications

References 88 publications

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

Mental Health Outcomes Across the Lifespan in Individuals With Persistent Post-Concussion Symptoms: A Scoping Review

Cognitive performance in older people after mild traumatic brain injury: Trauma effects and other risk factors

Besonderheiten der Gehirnerschütterung im Alter

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