The comparison of assault and falling in elder patients over 65 years of age
| Autor: | Tamer Colak, Kaan Celik |
|---|---|
| Přispěvatelé: | BAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çelik, Kaan, Çolak, Tamer |
| Rok vydání: | 2021 |
| Předmět: |
Pediatrics
medicine.medical_specialty Mean arterial pressure Referral business.industry Incidence (epidemiology) Glasgow Coma Scale Older-Adults Emergency-Department Elder abuse Elder Abuse Trauma Falling (accident) Emergency Mann–Whitney U test Medicine Injury Severity Score Elder Patient medicine.symptom business |
| Zdroj: | Signa Vitae. |
| DOI: | 10.22514/sv.2021.090 |
| Popis: | Objective: The aim of the present study was to determine suspected events for elder abuse, and to increase awareness of the clinicians by comparing traumatic elder abuse and falling. Methods: The study was conducted retrospectively on individuals older than 65 years referred due to traumatic abuse and falling between 1 June 2014 and 30 September 2019. The patients were evaluated for age, gender, co-morbidity, trauma location, trauma scores at referral [injury severity score (ISS), Glasgow coma scale (GCS)], and vital parameters at referral [mean arterial pressure (MAP), and the pulse rate]. Variable distribution was evaluated by Kolmogorov-Simirnov test. Mann Whitney U test was used for analysis of quantitative data; chi-square test was utilized for analysis of independent qualitative data; Fischer’s test was used when chi-square conditions are provided. Results: The median age of the patients exposed to abuse was 73 (IQR: 11) years and 48% of these patients were male. The age median of the patients exposed to abuse was significantly higher; frequency of female patients were significantly more (p < 0.05). Fracture incidence was higher in the patients who have fallen; however, soft tissue trauma was higher in the patients who have been abused (p < 0.05). Hospitalization prevalence of assaulted cases was higher (p < 0.05); however, mortality prevalence was similar (p ＞ 0.05). Conclusion: Consequently, abuse causes severe traumas when compared with accident and falling. The probability of abuse should be considered in elder trauma cases with specific locations (upper limbs and face etc.). |
| Databáze: | OpenAIRE |
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