Have outcomes improved in trauma patients age 90 years and older over the past decade: Experience at a level II trauma center - 13/06/18
, Thai Vu, Tanya Olszewski, Michael Bova, Qi Yan, Orlando KirtonAbstract |
Introduction |
Managing trauma in the elderly is challenging and requires a multidisciplinary team approach. The aim of this study is to characterize and compare outcomes in patients 90 years and older in the last two decades.
Methods |
Retrospective review of trauma patients 90 years and older admitted from 1996 to 2015. The patients were divided into two groups: Early Decade (ED) and Late Decade (LD).
Results |
A total of 1697 patients were recorded, 551 (ED) and 1146 (LD). The mean age was 92.92 ± 8(90–108)[ED] and 92.9 ± 2.7(90–105)[LD] years. The most common mechanism and type of injury was falls and extremity trauma. Hospital length of stay (LOS) was shorter in the LD. There was no significant difference in in-hospital mortality or ICU LOS.
Conclusion |
Trauma admission has increased in the last decade. However, in-hospital mortality remains low. It is important for multidisciplinary teams to allocate resources to treat this elderly population.
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Vol 215 - N° 6
P. 1000-1003 - juin 2018 Regresar al número
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