Variable | Overall (N;%) | Intracranial injury | p-value | |
---|---|---|---|---|
No (N = 547; %) | Yes (N = 35; %) | |||
Sex | 0.200 | |||
Male | 352 (60%) | 335 (61%) | 17 (49%) | |
Female | 230 (40%) | 212 (39%) | 18 (51%) | |
Age (IQR) | 79 (73, 85) | 79 (73, 85) | 79 (71, 85) | > 0.9 |
Place of Injury | 0.141 | |||
Retirement Home / Senior Facility | 70 (13%) | 66 (13%) | 4 (12%) | |
Another Healthcare Facility | 14 (2.6%) | 12 (2.4%) | 2 (6.1%) | |
Home | 240 (45%) | 230 (46%) | 10 (30%) | |
Outside | 213 (40%) | 196 (39%) | 17 (52%) | |
Missing | 45 | 43 | 2 | |
Mechanisms of Injury | 0.014 | |||
Ground-level fall or injury during ground-level fall | 465 (81%) | 441 (82%) | 24 (69%) | |
Found on the ground, mechanism not clear | 43 (7.5%) | 41 (7.6%) | 2 (5.7%) | |
Fall from a height (stairs etc.) | 38 (6.6%) | 30 (5.6%) | 8 (23%) | |
Traffic accident | 19 (3.3%) | 18 (3.3%) | 1 (2.9%) | |
Interpersonal violence | 9 (1.6%) | 9 (1.7%) | 0 (0%) | |
Missing | 8 | 8.0 | 0.0 | |
Cause of Injury | 0.101 | |||
Mechanic | 342 (59%) | 325 (59%) | 17 (49%) | |
Transient loss of consciousness (TLOC) | 70 (12%) | 65 (12%) | 5 (14%) | |
Vertigo / seizures | 35 (6.0%) | 34 (6.2%) | 1 (2.9%) | |
Alcohol intoxication | 89 (15%) | 78 (14%) | 11 (31%) | |
Unclear | 46 (7.9%) | 45 (8.2%) | 1 (2.9%) | |
Missing | 4 | 4 | 0 | |
Usage of blood thinners | 0.512 | |||
None | 183 (40%) | 165 (39%) | 18 (55%) | |
DOAC | 83 (18%) | 78 (19%) | 5 (15%) | |
Warfarin | 11 (2.4%) | 11 (2.6%) | 0 (0%) | |
Antiplatelet | 157 (35%) | 149 (35%) | 8 (24%) | |
LMWH | 17 (3.7%) | 15 (3.6%) | 2 (6.1%) | |
Antiplatelet + DOAC | 2 (0.4%) | 2 (0.5%) | 0 (0%) | |
Antiplatelet + LMWH | 1 (0.2%) | 1 (0.2%) | 0 (0%) | |
Missing | 128 | 126 | 2 | |
GCS Score | 0.023 | |||
13 | 10 (1.7%) | 9 (1.6%) | 1 (2.9%) | |
14 | 77 (13%) | 67 (12%) | 10 (29%) | |
15 | 495 (85%) | 471 (86%) | 24 (69%) | |
Pupillary examination - new changes | > 0.900 | |||
Equal | 581 (99.8%) | 546 (99.8%) | 35 (100%) | |
Unequal | 1 (0.2%) | 1 (0.2%) | 0 (0%) | |
Clinical symptoms after injury | < 0.001 | |||
None | 338 (58%) | 330 (60%) | 8 (23%) | |
Loss of consciousness | 17 (2.9%) | 15 (2.7%) | 2 (5.7%) | |
Vomiting (≥ 2 episodes) | 3 (0.5%) | 2 (0.4%) | 1 (2.9%) | |
Amnesia | 122 (21%) | 117 (21%) | 5 (14%) | |
New focal neurological deficit | 9 (1.5%) | 5 (0.9%) | 4 (11%) | |
Combination of ≥ 2 symptoms | 31 (5.3%) | 19 (3.5%) | 12 (34%) | |
Signs of skull fracture | 4 (0.7%) | 4 (0.7%) | 0 (0%) | |
Diffuse headache | 32 (5.5%) | 30 (5.5%) | 2 (5.7%) | |
Undocumented / unable to evaluate | 26 (4.5%) | 25 (4.6%) | 1 (2.9%) | |
New behavioral changes | < 0.001 | |||
None | 522 (90%) | 501 (92%) | 21 (60%) | |
Confusion | 48 (8.2%) | 42 (7.7%) | 6 (17%) | |
Agitation, irritability, severe restlessness | 5 (0.9%) | 1 (0.2%) | 4 (11%) | |
Verbal aggression | 4 (0.7%) | 1 (0.2%) | 3 (8.6%) | |
Physical aggression | 3 (0.5%) | 2 (0.4%) | 1 (2.9%) | |
Type of injury | 0.011 | |||
No signs of injury | 113 (19%) | 110 (20%) | 3 (8.6%) | |
Abrasion / wound not requiring suture | 157 (27%) | 150 (27%) | 7 (20%) | |
Haematoma | 138 (24%) | 121 (22%) | 17 (49%) | |
Wound requiring suture | 174 (30%) | 166 (30%) | 8 (23%) | |
Cutaneous Impact Location | 0.027 | |||
No visible CIL | 113 (19%) | 110 (20%) | 3 (8.6%) | |
Facial | 89 (15%) | 88 (16%) | 1 (2.9%) | |
Frontal | 162 (28%) | 150 (27%) | 12 (34%) | |
Scalp | 218 (37%) | 199 (36%) | 19 (54%) | |
Additional Injuries | < 0.001 | |||
None | 357 (62%) | 345 (64%) | 12 (34%) | |
Wound or contusion anywhere else | 97 (17%) | 92 (17%) | 5 (14%) | |
Complicated facila bone fracture(s) | 39 (6.7%) | 37 (6.8%) | 2 (5.7%) | |
Cervical vertebrae fracture | 6 (1.0%) | 5 (0.9%) | 1 (2.9%) | |
Lower limb fracture | 15 (2.6%) | 15 (2.8%) | 0 (0%) | |
Upper limb fracture | 33 (5.7%) | 32 (5.9%) | 1 (2.9%) | |
Pelvic fracture / thoracic or lumbal vertebral fracture | 11 (1.9%) | 10 (1.8%) | 1 (2.9%) | |
Rib fracture(s) | 6 (1.0%) | 6 (1.1%) | 0 (0%) | |
Skull fracture | 14 (2.4%) | 1 (0.2%) | 13 (37%) | |
Missing | 4 | 4 | 0 |