Do characteristics of seriously injured older adults differ from those of their younger counterparts in the emergency department?
| Autor: | Memet Isik, Ayhan Akoz, Huseyin Sahin, Mucahit Emet |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Pediatrics law.invention 03 medical and health sciences 0302 clinical medicine Geriatric trauma law Medicine Femur 0303 health sciences 030306 microbiology business.industry Incidence (epidemiology) 030208 emergency & critical care medicine General Medicine Emergency department medicine.disease Intensive care unit 3. Good health Surgery Key words: Elderly geriatric trauma injury health care quality length of stay consultation outcome emergency department Acute abdomen Pelvic fracture Injury Severity Score medicine.symptom business |
| Zdroj: | Volume: 43, Issue: 3 464-469 Turkish Journal of Medical Sciences |
| ISSN: | 1303-6165 1300-0144 |
| DOI: | 10.3906/sag-1207-67 |
| Popis: | To analyze the injury characteristics of younger and older adult trauma victims. Materials and methods: This was a prospective, cross-sectional, observational, and single-center study including both younger adult and geriatric trauma patients. The relationships between the age groups and the number of consultations in the emergency department (ED) were compared with analysis of covariance after adjusting for Injury Severity Score (ISS). Results: The data consisted of 779 patients, 131 (16.8%) of whom were elderly. The intensive care unit admission rate was 7.2%. Our results showed a significantly higher incidence of intracranial hemorrhage, fracture and/or dislocation of the femur, and fracture of the thoracic vertebra in the elderly patients, and acute abdomen, bowel injury, and pelvic fracture in younger adults. After adjusting for ISS and total consultations, the length of stay in the ED was significantly shorter in the elderly compared to the younger adults (115 min vs. 132 min; F = 24.2; P < 0.0001). After controlling for ISS, the total number of consultations among the elderly was significantly lower than that of the younger adults (2.07 ± 1.42 vs. 2.53 ± 1.44; P < 0.0001). Conclusion: The findings of this study suggest that the characteristics of seriously injured older adults admitted to our ED differ from those of their younger counterparts. |
| Databáze: | OpenAIRE |
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