Injury mechanisms, patterns and outcomes of older polytrauma patients-An analysis of the Dutch Trauma Registry

PloS One
Rob de VriesKlaus Wendt

Abstract

Polytrauma patients nowadays tend to be older due to the growth of the elderly population and its improved mobility. The aim of this study was to compare demographics, injury patterns, injury mechanisms and outcomes between younger and older polytrauma patients. Data from polytrauma (ISS≥16) patients between 2009 and 2014 were extracted from the Dutch trauma registry (DTR). Younger (Group A: ages 18-59) and older (Group B: ages ≥60) polytrauma patients were compared. Differences in injury severity, trauma mechanism (only data for the year 2014), vital signs, injury patterns, ICU characteristics and hospital mortality were analyzed. Data of 25,304 polytrauma patients were analyzed. The older patients represented 47.8% of the polytrauma population. Trauma mechanism in the older patients was more likely to be a bicycle accident (A: 17%; B: 21%) or a low-energy fall (A: 13%; B: 43%). Younger polytrauma patients were more likely to have the worst scores on the Glasgow coma scale (EMV = 3, A: 20%, B: 13%). However, serious head injuries were seen more often in the older patients (A: 53%; B: 69%). The hospital mortality was doubled for the older polytrauma patients (19.8% vs. 9.6%). Elderly are involved more often in polytrauma. Altho...Continue Reading

References

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Citations

Jun 28, 2019·Trauma Surgery & Acute Care Open·Amund Hovengen RingenPaal Aksel Naess
Mar 14, 2020·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Mark SchierenAndreas B Böhmer
Apr 18, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Fabrizio A FiumedinisiThomas Gross
Feb 5, 2021·Topics in Spinal Cord Injury Rehabilitation·Menco J S NiemeyerC F van Koppenhagen
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Gaurav K UpadhyayaRakesh Garg
Apr 18, 2021·Emergency Medicine Clinics of North America·Drew Clare, Korie L Zink
Aug 28, 2021·Tomography : a Journal for Imaging Research·Leonie GoelzMichael Kirsch

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Methods Mentioned

BETA
ISS
sedation

Software Mentioned

SPSS Statistics

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