Thoracic trauma in the elderly
| Autor: | Cemal Özçelik, Özgür Nizam, Ilhan Inci, Nesimi Eren |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Thoracic Injuries health care facilities manpower and services Adult population Hospitals University High morbidity Blunt Age Distribution Injury Severity Score Risk Factors medicine Humans Hospital Mortality Sex Distribution Thoracic trauma Aged Aged 80 and over business.industry Mortality rate Middle Aged medicine.disease Surgery Treatment Outcome Blunt trauma Emergency Medicine Female Morbidity business Penetrating trauma |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 0969-9546 |
| Popis: | Thoracic trauma in the elderly population constitutes a major challenge for both thoracic and trauma surgeons as their presentation and outcomes differ from the adult population in addition to their high morbidity and mortality. One hundred and one patients, 60 years of age or older, with thoracic trauma were treated at Dicle University School of Medicine during a 6-year period. Eighty-five per cent were male and 15% were female with a mean age of 64.5 years. The cause of thoracic injury was blunt in 77.2% and penetrating in 22.8% of the patients. Sixty-two patients (61.4%) had isolated thoracic injuries. The median Injury Severity Score (ISS) was 23. The morbidity rate was 23.8%. The mortality rate was 16.8%. Seven of 10 patients (70%) who had an ISS greater than 25 died, whereas six of 24 (25%) patients with an ISS between 17 and 25, and four of 67 (5.9%) patients with an ISS less than 16 died. In the elderly the morbidity and mortality rates were higher for blunt trauma compared with penetrating trauma. For ISS greater than 25 the mortality rate was 71.4% for blunt and 66.6% for penetrating trauma. As the morbidity and mortality rate are significantly higher in the elderly patients the approach to these patients should include recognition of their high risk for morbidity and mortality, especially for those who had an ISS greater than 25. |
| Databáze: | OpenAIRE |
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