| 摘要 |
Background: This study explored possible significant complications, which affected the functional outcome after 1-year follow-up in
older adults with severe head injury.
Methods: Retrospective secondary data were collected from the hospital medical information system. The patients who suffered from
severe head injury (Injury Severity Score [ISS]≧16) with the disease classification systemwere collected in the study. The survived patients
were followed by telephone 1 year after discharge. Documented complications, Glasgow Outcome Scale, and Functional Independence
Measure were used for comparisons. This study protocol was approved by the institutional review board of the hospital.
Results: Between January 2009 and September 2015, patients who were 65 years and older, diagnosed with ISS ≧16, were enrolled.
There were 142 patients collected, and 60 patients survived reachable for more than 1 year for follow-up and analysis. The mean age of
collected survival was 75.2 ± 6.1 years. Both complications of pneumonia and urinary tract infection had worsened the outcome of the
older patients after 1-year follow-up ( P < 0.001). After 1 year, those who had complications with urinary tract infection but not pneumonia
had a worse prognosis in the aspects of functional outcome in 1-year follow-up.
Conclusions: Older adults with severe head injuries often have high mortality. When they survived, independent life activities are critical
for their quality of life. Urinary tract infections during admission have detrimental effects on the functional outcome in the older patients. Prevention
of urinary tract infection is encouraged for better outcome in older patients with severe head injury. |
