ArticlePloS one2023
Epidemiology, injury pattern and outcome of older trauma patients: A 15-year study of level-I trauma centers.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Prehospital management and outcomes of traumatic cardiac arrest in older adults: a French nationwide registry study.Resuscitation plus · 2026Article
- Trauma as a critical condition in the very old: assessment, care pathways and outcome differences.European geriatric medicine · 2026Review
- 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
- Predicting Prolonged Hospital Length of Stay in Trauma Patients Using Machine Learning Techniques: A Cross-Sectional Study.Health science reports · 2026Article
- Determining the Association Between Hearing Disability and Injury Risk in Older Adults Using Propensity Score Matching: Quasi-Experimental Study.JMIR public health and surveillance · 2026Article
- Decision Trees for Managing Impaired Physical Mobility in Multiple Trauma Patients.Journal of advanced nursing · 2026Article
- Maxillofacial Fractures in Southern Hungary: A 15-Year Retrospective Cross-Sectional Study of 1948 Patients.Journal of clinical medicine · 2025Article
- Epidemiologic characteristics of 22,086 patients discharged from the Department of Orthopaedic Trauma at a military hospital between 2013 and 2022: a retrospective real-world study.Annals of medicine · 2025Article
- Does frailty scoring help to predict outcomes in older patients with major trauma? A retrospective study at a major trauma centre.Emergency medicine Australasia : EMA · 2025Observational
- Short- and Long-Term Mortality in Severely Injured Older Trauma Patients: A Retrospective Analysis.Journal of clinical medicine · 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
- Impact of alcohol consumption on outcomes and potential of immune biomarkers for postoperative complications in trauma patients.Frontiers in immunology · 2025Article
- 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
- Analgesia for rib fractures: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024Review
- Stop The Falls! A framework for injury prevention outreach for older adults presented by the American Association for the Surgery of Trauma Geriatric Trauma and Injury Prevention Committees.Trauma surgery & acute care open · 2024Article
- Evaluation and Treatment of Acute Trauma Pain in Older Adults.Drugs & aging · 2023Article
- Relationship between systolic blood pressure and mortality in older vs younger trauma patients - a retrospective multicentre observational study.BMC emergency medicine · 2023Observational
- External Validation of the Traumatic Bleeding Severity Score for the Predictive Accuracy of the Need for Massive Transfusion.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder adults have become a significant portion of the trauma population. Exploring their specificities is crucial to better meet their specific needs. The primary objective was to evaluate the temporal changes in the incidence, demographic and trauma characteristics, injury pattern, in-hospital admission, complications, and outcome of older trauma patients.
methodsA multicenter retrospective cohort study was conducted using the Quebec Trauma Registry. Patients aged ≥16 years admitted to one of the three adult level-I trauma centers between 2003 and 2017 were included. Descriptive analyses and trend-tests were performed to describe temporal changes.
resultsA total of 53,324 patients were included, and 24,822 were aged ≥65 years. The median [IQR] age increased from 57[36-77] to 67[46-82] years, and the proportion of older adults rose from 41.8% in 2003 to 54.1% in 2017. Among those, falls remain the main mechanism (84.7%-88.3%), and the proportion of severe thorax (+8.9%), head (+8.7%), and spine (+5%) injuries significantly increased over time. The proportion of severely injured older patients almost doubled (17.6%-32.3%), yet their mortality decreased (-1.0%). Their average annual bed-days consumption also increased (+15,004 and +1,437 in non-intensive care wards and ICU, respectively).
conclusionsSince 2014, older adults have represented the majority of admissions in Level-I trauma centers in Québec. Their bed-days consumption has greatly increased, and their injury pattern and severity have deeply evolved, while we showed a decrease in mortality.
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