ArticleJournal of emergencies, trauma, and shock
Older Age, Comorbid Illnesses, and Injury Severity Affect Immediate Outcome in Elderly Trauma Patients.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Performance of trauma scoring systems in predicting mortality in geriatric trauma patients: comparison of the ISS, TRISS, and GTOS based on a systemic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- Observational
- Article
- Biological sex, but not obesity, independently predicts anatomical injury patterns in trauma bay patients: a multivariate retrospective analysis of 2,128 patients.Biology of sex differences · 2026Article
- Review
- Enhancing geriatric trauma mortality prediction: Modifying and assessing the Geriatric Trauma Outcome Score with net benefit and decision curve analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Predictive Limitations of the Geriatric Trauma Outcome Score: A Retrospective Analysis of Mortality in Elderly Patients with Multiple Traumas and Severe Traumatic Brain Injury.Diagnostics (Basel, Switzerland) · 2025Article
- The severely injured older patient: identifying patients at high risk for mortality using the Dutch National Trauma Registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Risk factors and economic impact of long-term nursing care after major trauma.Frontiers in public health · 2025Article
- Comorbidities and health-related quality of life among rural older community-dwellers in Vietnam.PloS one · 2025Article
- The long-term conditional mortality rate in older ICU patients compared to the general population.Critical care (London, England) · 2024Article
- ASA-score is associated with 90-day mortality after complicated mild traumatic brain injury - a retrospective cohort study.Acta neurochirurgica · 2024Article
- Epidemiology of geriatric orthopaedic injuries in a tertiary hospital in southwestern Nigeria.Scientific reports · 2024Article
- No trauma-related diagnosis in emergency trauma room whole-body computer tomography of patients with inconspicuous primary survey.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Article
- Trauma patients with metastatic cancer undergoing emergent surgery: A matched cohort analysis.Surgery open science · 2024Article
- An evaluation of the "Obesity Paradox" in isolated blunt abdominal trauma in the United States.Injury · 2024Article
- Impact of COVID-19 Lockdown on Traumatic Bone Fracture Patterns and Hospital Outcomes in 1646 Elderly Patients: A Retrospective Study in Turkey.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Comparison of adult versus elderly patients with abdominal trauma: A retrospective database analysis.PloS one · 2024Article
- Economic burden and financial vulnerability of injuries among the elderly in Vietnam.Scientific reports · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTrauma in elderly population is frequent and is associated with significant mortality, not only due to age but also due to complicated factors such as the severity of injury, preexisting comorbidity, and incomplete general assessment. Our primary aim was to determine whether age, Injury Severity Score (ISS), and preexisting comorbidities had an adverse effect on the outcome in patients aged 65 years and above following blunt trauma.
methodsWe included 1027 patients aged ≥65 years who were admitted to our Level I Trauma Center following blunt trauma. Patients' charts were reviewed for demographics, ISS, mechanism of injury, preexisting comorbidities, Intensive Care Unit and hospital length of stay, complications, and in-hospital mortality.
resultsThe mean age of injured patients was 78.8 ± 8.3 years (range 65-109). The majority of patients had mild injury severity (ISS 9-14, 66.8%). Multiple comorbidities (≥3) were found in 233 patients (22.7%). Mortality during the hospitalization stay (
conclusionsOur analysis shows that age alone in elderly trauma population is not a robust measure of outcome, and more valuable predictors such as injury severity, preexisting comorbidities, and medications are accounted for adverse outcome. Trauma care in this population with special considerations should be tailored to meet their specific needs.
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