title: Traumatic brain injury in the elderly: A level 1 trauma centre study.
abstract: OBJECTIVE
  To explore the characteristics and outcome of patients with TBI over 65 years old admitted to an acute care Level 1 Trauma centre in Montreal, Canada.
  
  
  METHODS
  Data were retrospectively collected on patients (n = 1812) who were admitted post-TBI to the McGill University Health Centre-Montreal General Hospital from 2000-2011. The cohort was composed of four groups over 65 years old (65-75; 76-85; 86-95; and 96 and more). Outcome measures used were the extended Glasgow Outcome Scale (GOSE) as well as discharge destination.
  
  
  RESULTS
  As the patients got older, the odds of having a poor outcome increased (OR = 2.344 for those 75-85 years old, 4.313 for those 86-95 years of age and 3.465 for those aged 96 years of age or older). Also, the proportion of patients going home or going home with out-patient rehabilitation decreased as age increased (p = 0.001 and p < 0.001, respectively). In contrast, the proportion of patients being discharged to long-term care facilities increased significantly as age increased (p < 0.001).
  
  
  CONCLUSIONS
  This descriptive study provides a better understanding of characteristics and outcome of different age groups of patients with TBI all over 65 years old in Montreal, Canada.
authors.affiliation: Neurology and Neurosurgery Department, McGill University Health Centre , Montreal, Quebec , Canada .
authors.forename: Elaine
authors.initials: E
authors.lastname: de Guise
authors.forename: Joanne
authors.initials: J
authors.lastname: LeBlanc
authors.forename: Jehane
authors.initials: J
authors.lastname: Dagher
authors.forename: Simon
authors.initials: S
authors.lastname: Tinawi
authors.forename: Julie
authors.initials: J
authors.lastname: Lamoureux
authors.forename: Judith
authors.initials: J
authors.lastname: Marcoux
authors.forename: Mohammed
authors.initials: M
authors.lastname: Maleki
authors.forename: Mitra
authors.initials: M
authors.lastname: Feyz
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000453:epidemiology* / Q000534:rehabilitation / Q000628:therapy; D002170:Canada / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014193:Trauma Centers / Q000706:statistics & numerical data; D016896:Treatment Outcome
keywords: Ageing; level 1 trauma centre; older age; outcome; traumatic brain injury