ArticleEuropean geriatric medicine2022
A retrospective cohort study of 27,049 polytraumatized patients age 60 and above: identifying changes over 16 years.
Article in European geriatric medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- CT Imaging Patterns and Clinical Outcomes of Traumatic Brain Injury: Distribution Across Injury Mechanisms.Journal of clinical medicine · 2026Article
- Cardiovascular Risk Score (SCORE2) Predicts The Incidence and Severity of Cardiac Damage After Polytrauma: How to Identify At-Risk Patients?Shock (Augusta, Ga.) · 2026Article
- Older age and post-traumatic organ failure a TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Prediction of risk of death in severely injured patients: the revised injury severity classification score, version 3 (RISC III).European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Clinical Characteristics of Major Trauma in Older Adults at an Australian Level 1 Trauma Service: A 10-Year Retrospective Review.ANZ journal of surgery · 2026Observational
- Early discharges in severely injured patients by ISS score: exploring injury patterns and coding practices.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Polytrauma in the elderly: who is at risk? A case-control study.BMC geriatrics · 2026Article
- Polytrauma Cases in the Emergency Department of a Community Hospital in Croatia.Journal of personalized medicine · 2025Article
- The Characteristics of Severely Injured Trauma Patients Admitted to a Level I Trauma Center with Pre-Injury Use of Oral Anticoagulation (OAC) or Antiplatelet Therapy (APT).Journal of clinical medicine · 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
- In the last 10 years, have our polytrauma patients become geriatric? The emergency trauma bay in the context of demographic change.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Extremity fractures, attempted suicide, blood transfusion and thromboembolic events are independent risk factors for a prolonged hospital stay in severely injured elderly.Aging clinical and experimental research · 2024Article
- Epidemiology of Accidental Injuries at Home and Related Risk Factors for Mortality among Older Adults in South Korea: A Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2024Article
- Acute Gastrointestinal Injury in Polytrauma: Special Attention to Elderly Patients.International journal of medical sciences · 2024Observational
- Accuracy of a Prehospital Triage Protocol in Predicting In-Hospital Mortality and Severe Trauma Cases among Older Adults.International journal of environmental research and public health · 2023Article
- Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers.PloS one · 2023Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe number of severely injured patients exceeding the age of 60 has shown a steep increase within the last decades. These patients present with numerous co-morbidities, polypharmacy, and increased frailty requiring an adjusted treatment approach. In this study, we establish an overview of changes we observed in demographics of older severe trauma patients from 2002 to 2017.
methodsA descriptive analysis of the data from the TraumaRegister DGU
resultsIn total 27,049 patients with an average age of 73.9 years met the inclusion criteria. The majority were males (64%), and the mean ISS was 27.4. The proportion of patients 60 years or older [(23% (1) to 40% (4)] rose considerably over time. Trauma mechanisms changed over time and more specifically low falls (< 3 m) rose from 17.6% (1) to 40.1% (4). Altered injury patterns were also identified. Length-of-stay decreased from 28.9 (1) to 19.5 days (4) and the length-of-stay on ICU decreased from 17.1 (1) to 12.7 days (4). Mortality decreased from 40.5% (1) to 31.8% (4).
conclusionLength of stay and mortality decreased despite an increase in patient age. We ascribe this observation mainly to increased use of diagnostic tools, improved treatment algorithms, and the implementation of specialized trauma centers for older patients allowing interdisciplinary care.
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