Type of underlying fracture after the surgical treatment of geriatric trauma patients has no effect on mortality during intensive care treatment
Autor: | Tom Knauf, Juliana Hack, Rene Aigner, Hannah Althaus, Daphne Eschbach, Benjamin Buecking, Matthias Knobe, Kai Oliver Jensen, Steffen Ruchholtz, Juliane Barthel |
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Přispěvatelé: | University of Zurich |
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Critical Care Population 610 Medicine & health law.invention Geriatric trauma law Intensive care medicine Humans Critical Care Outcomes education Aged Retrospective Studies Geriatrics education.field_of_study Hip Fractures business.industry Mortality rate Retrospective cohort study Length of Stay medicine.disease Intensive care unit 10021 Department of Trauma Surgery Intensive Care Units Emergency medicine business |
Zdroj: | Geriatrics & Gerontology International. 20:1120-1125 |
ISSN: | 1447-0594 1444-1586 |
DOI: | 10.1111/ggi.14053 |
Popis: | AIM Due to demographic change, the number of geriatric patients is still rising. Although hip fractures are the subject of current research, little is known about the remaining geriatric trauma entities. The aim of this study was to collect data of the age-related traumatological intensive care unit (ICU) population, its underlying diagnosis, and the influence on mortality and length of stay in the ICU. METHODS Geriatric trauma patients (aged ≥65 years) treated postoperatively in our surgical ICU were included in this retrospective observational study covering the period 2013-2017. In addition to the underlying fracture entities, patient characteristics, such as age, sex, Charlson Comorbidity Index, length of stay and mortality, were collected to identify possible independent predictive factors for mortality in the ICU using multivariate analysis. RESULTS During the observation period, 805 (60.5%) patients met the inclusion criteria. 47.6% of the patients suffered from a proximal femoral fracture. The total mortality rate during the stay in the ICU was 7.5%. Significant predictive factors for mortality in the ICU were Charlson Comorbidity Index (P |
Databáze: | OpenAIRE |
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