ArticleScandinavian journal of trauma, resuscitation and emergency medicine2021
The elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study.
Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Novel Online Platform for Trauma Care-Integrating Trauma Phenotypes to Optimize the Trauma and Injury Severity Score Model: Retrospective Cohort Study.JMIR medical informatics · 2026Article
- System bottlenecks and orthopaedic trauma outcomes in Tanzania: a multicentre prospective observational cohort study to strengthen surgical readiness.BMJ global health · 2026Observational
- Integrated Role of GCS and eTBI Scores in Outcome Stratification for Traumatic Brain Injury in the Elderly.Korean journal of neurotrauma · 2026Article
- When Pedestrian Crossings Become Danger Zones: Trauma and Mortality Risks in Elderly Pedestrians.International journal of environmental research and public health · 2025Article
- An unexpected finding of cardiac injury penetrating the diaphragm in a suspected abdominal trauma case.Journal of surgical case reports · 2025Article
- Machine learning and transformer models for prediction of postoperative pneumonia risk in patients with lower limb fractures.Scientific reports · 2025Article
- 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
- Injury patterns and patient outcomes of abdominal trauma in the elderly population: a 5-year experience of a Major Trauma Centre.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Article
- Injury Severity Score Precision for Determining Undertriage in Trauma Consultation Patients: A Retrospective Study.Cureus · 2024Article
- Article
- Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic.Journal of clinical medicine · 2024Article
- Does tranexamic acid have a positive effect on the outcome of older multiple trauma patients on antithrombotic drugs? An analysis using the TraumaRegister DGUFrontiers in medicine · 2024Article
- Long-term health-related quality of life after trauma with and without traumatic brain injury: a prospective cohort study.Scientific reports · 2023Article
- Age as the Impact on Mortality Rate in Trauma Patients.Critical care research and practice · 2022Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundWith an aging population, the number of elderly individuals exposed to traumatic injuries is increasing. The elderly age criterion for traumatic injuries has been inconsistent in the literature. This study aimed at specifying the elderly age criterion when the traumatic mortality rate increases.
methodsThis is a multicenter retrospective cohort study that was conducted utilizing the data from the Emergency Department-based Injury In-depth Surveillance Registry of the Korea Disease Control and Prevention Agency, collected between January 2014 and December 2018 from 23 emergency departments. The outcome variable was in-hospital mortality. Multivariable logistic regression analysis was used to calculate the adjusted mortality rate for each age group. By using the shape-restricted regression splines method, the relationship between age and adjusted traumatic mortality was plotted and the point where the gradient of the graph had the greatest variation was calculated.
resultsA total of 637,491 adult trauma patients were included. The number of in-hospital deaths was 6504 (1.0%). The age at which mortality increased the most was 65.06 years old. The adjusted odds ratio for the in-hospital mortality rate with age in the ≤ 64-year-old subgroup was 1.038 (95% confidence interval (CI) 1.032-1.044) and in the ≥ 65-year-old subgroup was 1.059 (95% CI 1.050-1.068). The adjusted odds ratio for in-hospital mortality in the ≥ 65-year-old compared to the ≤ 64-year-old subgroup was 4.585 (95% CI 4.158-5.055, p < 0.001).
conclusionsThis study found that the in-hospital mortality rate rose with increasing age and that the increase was the most rapid from the age of 65 years. We propose to define the elderly age criterion for traumatic injuries as ≥ 65 years of age.
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