Outcomes and health care resource utilization in super-elderly trauma patients

The Journal of Surgical Research
Kyla M BennettSteven Vaslef

Abstract

Few studies have compared the post-injury outcomes of super-elderly patients to elderly patients. We performed a retrospective analysis of 1320 multi-trauma geriatric patients treated at a level I trauma center from 2003 through 2007. The outcomes of Super-Elderly (> or =80 years old; n = 422) and Elderly (60-79 years old; n = 898) patients were compared after adjustment for patient gender, mechanism of injury, Glasgow coma scale, injury severity score, and admission vital signs. Super-elderly patients had significantly higher risk-adjusted in-hospital mortality compared with elderly patients [13.4% versus 7.7%, adjusted odds ratio = 1.94 (95% CI 1.14, 3.31), P = 0.015]. Of patients surviving hospitalization, super-elderly patients experienced shorter intensive care unit and hospital length of stay, but were more likely to require non-routine discharge (AOR 3.78 (2.75, 5.28), P < 0.0005). Super-elderly patients were more likely than elderly patients to die during hospitalization as a result of withdrawal of medical support (9.5% versus 5.5%, P = 0.007). Super-elderly patients have significantly greater risk-adjusted in-hospital mortality rates than elderly patients after injury, and are more likely to require non-routine discha...Continue Reading

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Citations

Jan 30, 2016·American Journal of Surgery·Olubode A OlufajoAli Salim
Apr 3, 2012·Archives of Gerontology and Geriatrics·Amadéa SchönenbergerMatthias Turina
Aug 9, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·F HildebrandT Schürholz
Dec 30, 2014·Journal of the American College of Surgeons·Vanessa J FawcettSaman Arbabi
Apr 9, 2016·Acta ortopedica brasileira·Lisiane Pinto GomesHenrique Cerqueira Guimarães
May 19, 2011·The Journal of Bone and Joint Surgery. British Volume·N D ClementC M Court-Brown
Jun 20, 2015·Journal of Orthopaedic Trauma·Sanjit R KondaMadhav A Karunakar
Mar 26, 2016·The Journal of Trauma and Acute Care Surgery·Olubode A OlufajoAli Salim
Jun 4, 2015·Critical Care Nursing Quarterly·Renee Semonin Holleran
Nov 1, 2013·Revista do Colégio Brasileiro de Cirurgiões·José Gustavo ParreiraJosé Cesar Assef
Dec 12, 2012·The Journal of Bone and Joint Surgery. American Volume·Julie A Switzer, Steven R Gammon

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