Background: The Eastern Association for the Surgery of Trauma (EAST) recommends that clinicians consider limiting further aggressive treatment in geriatric patients with severe TBI who do not improve in 72 hours (non-responders) due to their poor prognosis. However, little is known about how these guidelines are followed in practice. This study compared mortality and patient care among geriatric patients with severe TBI classified as "responders" and "non-responders" 72 hours after injury. Methods: Retrospective review of patients >=65 years old at a Level I Trauma Center with severe TBI (GCS8 at 72 hours) and non-responders (GCS>8 at 72 hours). Results: Of 90 patients, 29 (32%) died within 3 days of injury; 29 (32%) were non-responders; and 32 (34%) were responders. An additional 19 (21%) patients died before hospital discharge, of whom 17 (89%) were non-responders. Non-responders had higher odds of in-hospital death (OR 31.8, 95% CI 3.71-272.9, p=0.002). Family meetings to discuss goals of care were more common in the non-responder group (p
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Archives of Clinical Neuropsychology from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2eTSYdQ
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Objective: Many ICU patients do not require critical care interventions. Whether aggressive care environments increase risks to low-acuity p...
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Timing of Gestation After Laparoscopic Sleeve Gastrectomy (LSG): Does it Influence Obstetrical and Neonatal Outcomes of Pregnancies? Ivor Le...
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The American Journal of Emergency Medicine from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2t0g8pt
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Publication date: December 2018 Source: The Journal of Emergency Medicine, Volume 55, Issue 6 Author(s): Matthew Mendes from Emergency...
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