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Age itself or age-associated comorbidities? A nationwide analysis of outcomes of geriatric trauma.


ABSTRACT:

Purpose

Geriatric trauma patients present physiological challenges to care providers. A nationwide analysis was performed to evaluate the roles of age alone versus age-associated comorbidities in the morbidity and mortality of elderly patients with blunt abdominal trauma (BAT).

Methods

Patients with BAT registered in the National Trauma Data Bank from 2013 to 2015 were analyzed using propensity score matching (PSM) to evaluate the mortality rate, complication rate, hospital length of stay (LOS), intensive care unit (ICU) LOS and ventilator days between young (age?ResultsThere were 41,880 patients with BAT during the study period. In elderly patients, the injury severity score (ISS) decreased with age, but the mortality rate increased inversely (from 5.0 to 13.5%). Under a similar condition and proportion of age-associated comorbidities after a well-batched PSM analysis, elderly patients had significantly higher mortality rates (8.0% vs. 1.9%, p?ConclusionIn patients with BAT, age itself appeared to have an independent and deleterious effect on mortality, but age-associated comorbidity did not.

SUBMITTER: Fu CY 

PROVIDER: S-EPMC7839290 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Age itself or age-associated comorbidities? A nationwide analysis of outcomes of geriatric trauma.

Fu Chih-Yuan CY   Bajani Francesco F   Bokhari Marissa M   Starr Frederick F   Messer Thomas T   Kaminsky Matthew M   Dennis Andrew A   Schlanser Victoria V   Mis Justin J   Poulakidas Stathis S   Bokhari Faran F  

European journal of trauma and emergency surgery : official publication of the European Trauma Society 20210127 4


<h4>Purpose</h4>Geriatric trauma patients present physiological challenges to care providers. A nationwide analysis was performed to evaluate the roles of age alone versus age-associated comorbidities in the morbidity and mortality of elderly patients with blunt abdominal trauma (BAT).<h4>Methods</h4>Patients with BAT registered in the National Trauma Data Bank from 2013 to 2015 were analyzed using propensity score matching (PSM) to evaluate the mortality rate, complication rate, hospital length  ...[more]

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