ArticleJournal of emergencies, trauma, and shock
Prolonged Hospital Stay in Elderly Blunt Colorectal Trauma: A National Trauma Data Bank Analysis.
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. Not yet cited in PubMed.
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Abstract
Introduction: Understanding predictors of prolonged hospitalization in elderly colorectal trauma patients is crucial for resource allocation and prognostic counseling, yet the relative contributions of injury severity, surgical complexity, and patient frailty remain unclear. This study aims to identify factors associated with length of hospital stay in elderly patients with blunt colorectal trauma. This is a retrospective cohort study using the National Trauma Data Bank. Methods: Patients aged ≥65 years with blunt colorectal trauma who survived were included. The primary outcome was hospital length of stay (LOS), analyzed as continuous and binary variables (prolonged vs. normal, defined as ≥75 Results: Among 287 elderly survivors (median age 72.0 years; 60.3% male), the median LOS was 12.0 days. Frailty distribution: 34.8% nonfrail, 40.1% prefrail, 25.1% frail. Motor vehicle accidents predominated (58.9%); 67.9% underwent surgery. ISS was the strongest predictor of continuous LOS (β =0.46; 95% confidence interval [CI], 0.29-0.63; Conclusions: In elderly blunt colorectal trauma survivors, injury severity and surgical complexity were primary determinants of hospital LOS, while frailty status did not independently predict prolonged hospitalization.
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