Clinical characteristics and mortality risk factors among trauma patients by age groups at a single center in Korea over 7 years: a retrospective study.

Autor:	Han J; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Yoon SY; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Seok J; Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Lee JY; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Lee JS; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Ye JB; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Sul Y; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea.; Department of Trauma Surgery, Chungbuk National University College of Medicine, Cheongju, Korea., Kim S; Deparment of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea., Kim HR; Department of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
Jazyk:	angličtina
Zdroj:	Journal of trauma and injury [J Trauma Inj] 2023 Dec; Vol. 36 (4), pp. 329-336. Date of Electronic Publication: 2023 Nov 07.
DOI:	10.20408/jti.2023.0035
Abstrakt:	Purpose: In this study, we aimed to compare the characteristics of patients with trauma by age group in a single center in Korea to identify the clinical characteristics and analyze the risk factors affecting mortality. Methods: Patients aged ≥18 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022 were included. The accident mechanism, severity of the injury, and outcomes were compared by classifying the patients into group A (18-64 years), group B (65-79 years), and group C (≥80 years). In addition, logistic regression analysis was performed to identify factors affecting death. Results: The most common injury mechanism was traffic accidents in group A (40.9%) and slipping in group B (37.0%) and group C (56.2%). Although group A had the highest intensive care unit admission rate (38.0%), group C had the highest mortality rate (9.5%). In the regression analysis, 3 to 8 points on the Glasgow Coma Scale had the highest odds ratio for mortality, and red blood cell transfusion within 24 hours, intensive care unit admission, age, and Injury Severity Score were the predictors of death. Conclusions: For patients with trauma, the mechanism, injured body region, and severity of injury differed among the age groups. The high mortality rate of elderly patients suggests the need for different treatment approaches for trauma patients according to age. Identifying factors affecting clinical patterns and mortality according to age groups can help improve the prognosis of trauma patients in the future. Competing Interests: Conflicts of interest The authors have no conflicts of interest to declare. (© 2023 The Korean Society of Traumatology.)
Databáze:	MEDLINE
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