Development of clinical decision support for patients older than 65 years with fall-related TBI using artificial intelligence modeling.

Journal: PloS one
PMID: 39899653

Abstract

BACKGROUND: Older persons comprise most traumatic brain injury (TBI)-related hospitalizations and deaths and are particularly susceptible to fall-induced TBIs. The combination of increased frailty and susceptibility to clinical decline creates a significant ongoing challenge in the management of geriatric TBI. As the population ages and co-existing medical conditions complexify, so does the need to improve the quality of care for this population. Utilizing early hospital admission variables, this study will create and validate a multinomial decision tree that predicts the discharge disposition of older patients with fall-related TBI.

Authors

  • Biche Osong
    GROW-School for Oncology and Developmental Biology, Department of Radiation Oncology (MAASTRO), Maastricht University Medical Center, Maastricht.
  • Eric Sribnick
    Center for Pediatric Trauma Research and Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
  • Jonathan Groner
    Center for Pediatric Trauma Research and Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
  • Rachel Stanley
    Center for Pediatric Trauma Research and Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, United States of America.
  • Lauren Schulz
    Division of Pediatric Neurosurgery, Nationwide Children's Hospital, Columbus, Ohio, United States of America.
  • Bo Lu
    Department of Radiation Oncology, University of Florida, Gainesville, FL, USA.
  • Lawrence Cook
    Pediatric Critical Care, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
  • Henry Xiang
    Center for Injury Research and Policy and Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio.

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