• Newcombe Virginia F J VFJ Neurosciences and Trauma Critical Care Unit, Addenbrooke's Hospital. Universit and Andrew Chow.
• Neurosciences and Trauma Critical Care Unit, Addenbrooke's Hospital.
• Curr Opin Crit Care. 2021 Apr 1; 27 (2): 80-86.

Purpose Of ReviewTo describe the key features and epidemiology of traumatic brain injury (TBI) and how they may be changing, with an emphasis on how this may affect care in the intensive care unit.Recent FindingsTBI has been traditionally perceived as occurring mainly in a younger, predominantly male population injured in high velocity motor vehicle crashes or assaults. However, there are an increasing number of patients over 65 years who have sustained a TBI secondary to low velocity falls. Considering the effects of frailty, comorbidities and extracranial injuries is important when making management decisions. Mild TBI comprises a third of those admitted and as a significant proportion may have poor outcomes secondary to their TBI they should be assessed to ensure appropriate follow-up. Multimodal monitoring may offer a way in the future to offer more personalised management to this very complex and heterogeneous patient group.SummaryThis review highlights the urgent need to develop more age-inclusive TBI consensus management guidelines aimed at improving short- and long-term outcomes for the large and growing TBI population. Being elderly does not necessarily portend a poor outcome, and more research is needed to better triage, guide management and prognosticate on these patients.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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