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Titolo:
Outcomes of admitted geriatric trauma victims
Autore:
Ferrera, PC; Bartfield, JM; DAndrea, CC;
Indirizzi:
Albany Med Coll, Dept Emergency Med, Albany, NY 12208 USA Albany Med CollAlbany NY USA 12208 t Emergency Med, Albany, NY 12208 USA
Titolo Testata:
AMERICAN JOURNAL OF EMERGENCY MEDICINE
fascicolo: 5, volume: 18, anno: 2000,
pagine: 575 - 580
SICI:
0735-6757(200009)18:5<575:OOAGTV>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
MAJOR TRAUMA; MORTALITY; INJURY; CARE; MANAGEMENT; SURVIVAL; FALLS; AGE; OLD;
Keywords:
accidental falls; accidents; geriatrics; injury severity score; multiple trauma; traffic; wounds; and injuries;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
34
Recensione:
Indirizzi per estratti:
Indirizzo: Ferrera, PC Albany Med Coll, Dept Emergency Med, Mail Code 139,47 New Scotland Ave, Albany, NY 12208 USA Albany Med Coll Mail Code 139,47 New Scotland Ave Albany NY USA 12208
Citazione:
P.C. Ferrera et al., "Outcomes of admitted geriatric trauma victims", AM J EMER M, 18(5), 2000, pp. 575-580

Abstract

Conflicting data exist as to the outcome of elderly victims of trauma. With recent improved outcomes for functional recovery, aggressive management of these patients has been advocated. The purpose of this study is to determine outcomes of admitted elderly trauma victims based on initial mechanism of injury and the degree to which other factors affected their overall outcome. A prospective study involving admitted patients greater than or equal to 65 years was performed at an urban university center from September 15, 1996 until August 31, 1997. Patients sustaining any potentially serious form of trauma were included. Data about mechanism of injury (MOI), comorbid conditions, preinjury medications, types of injuries sustained, length of stay, functional outcome, and ultimate disposition were recorded. Two hundredthirty-nine consecutive patients were enrolled, Mean age was 78.1 +/- 8.1 years. There were 130 women (54%) and 109 men (46%). MOI was as follows: 132 low-mechanism falls (LMFs), 64 high-mechanism motor vehicle crashes (HMMVCs), 22 high-mechanism falls (HMFs), 8 pedestrian versus car (PVCs), and 13other types. Mean length of stay surviving beyond the ED was 12.9 days. 8 patients were either DOA or died in the ED. There were 19 in-hospital deaths. Deaths were seen in 14% of HMMVCs, 13.6% HMFs, 9.1% LMFs, 25% PVCs, and 7.7% for other mechanisms. Overall outcomes by mechanism were categorized as functional (or baseline), fair, alive but poor, and dead. Functional outcomes were seen in 76.6% of HMMVCs, 81.8% of HMFs, 84.1% of LMFs, 50% of PVCs, and 84.6% for all other injuries. Forty-five percent were discharged home, 26% went to rehabilitation units, 16% went to nursing homes, and 11% died; the remaining 2% were either transferred to a psychiatric facility or toanother hospital. Preexisting comorbid conditions did not appear to play asignificant role in the ultimate outcomes of these patients. Severity of injury was the leading determinant of death, but severely injured patients often had functional outcomes. Elderly trauma victims most often achieve functional outcomes despite multiple or severe injuries. Copyright (C) 2000 byW.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 00:42:04