Comparing the Short-Term Outcome after Polytrauma and Proximal Femur Fracture in Geriatric Patients
Autor: | Paul Alfred Grützner, Matthias Münzberg, Andreas Gather, Tomoko Tajima-Schneider |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment geriatric lcsh:Medicine Traumatology Article 03 medical and health sciences 0302 clinical medicine medicine Dementia Intubation 030222 orthopedics Proximal femur business.industry proximal femur fracture lcsh:R 030208 emergency & critical care medicine Retrospective cohort study General Medicine Femoral fracture medicine.disease Polytrauma Demographic change severe injured patients Physical therapy outcome business |
Zdroj: | Journal of Clinical Medicine, Vol 10, Iss 1287, p 1287 (2021) Journal of Clinical Medicine Volume 10 Issue 6 |
ISSN: | 2077-0383 |
Popis: | Because of demographic change, geriatric patients are becoming a major challenge for traumatology. Multiple trauma patients and patients with proximal femoral fractures are important groups of patients in geriatric traumatology. This retrospective study compares two patient groups with different severities of injuries, and analyzes their patient characteristics and short-term outcomes, focusing on functionality upon discharge. The investigation aims to present the characterizing features of both patient groups, and to identify the potential risk factors for early functionality after trauma. The patient collective comprises two patient groups: a polytrauma group with 91 patients, and a femoral fracture group with 132 patients. Under the control of potential influencing factors, the present study showed no significant influence of belonging to either of the patient groups (multiple trauma or proximal femoral fracture) on the mobility status at discharge. Age, known dementia, pre-clinical intubation, and the lowest Hb value were identified as significant influencing factors. Despite their old age and vulnerability, the majority of geriatric patients survive accidents. Further prospective investigations concerning the maintenance or restoration of functionality after an accident are therefore desirable. |
Databáze: | OpenAIRE |
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