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Older patients fare less well than the young after a head injury.
Munro and colleagues (p 1001) carried out a prospective national
study of intracranial haematomas in Scotland. They found that although
older patients' rates of survival were still substantial, they
were less likely to receive specialist neurosurgical care than
similarly injured younger patients. This difference persisted even
when previous health, extent of other injuries, and
physiological status on admission were taken into
account.