Ten-Year Incidence of High-Energy Geriatric Trauma at a Level 1 Trauma Center

Journal of Orthopaedic Trauma
Jason A LoweRussell Griffin

Abstract

To examine the characteristics of high-energy geriatric trauma over time. Retrospective chart review. Level 1 trauma center. Demographic, injury, and clinical characteristics were compared between 34,017 patients with geriatric and nongeriatric high-energy trauma from 2005 to 2014 using t test, χ analysis, and negative binomial regression for annual trend in injuries. Geriatric high-energy trauma composed 11.2% of all trauma activations. Patients with geriatric high-energy trauma nearly doubled from the study period of 2005-2014 to previous 10 years (P = 0.0004). Compared with patients with nongeriatric trauma, geriatric high-energy traumas were twice as likely to be due to a fall from height (P < 0.0001), had higher Injury Severity Scores (P < 0.0001), fewer abdominal injuries (P = 0.0011), and have head trauma (P < 0.0001). Fracture patterns were similar between groups. Mortality was higher for all geriatric patients (odds ratio [OR], 4.76; 95% confidence interval [CI], 4.00-5.67), and high-energy mechanisms (OR, 4.71; 95% CI, 3.90-5.68) compared with low-energy mechanisms (OR, 3.00; 95% CI, 2.48-3.62). The number of geriatric high-energy traumas has doubled over 10 years. Patients with geriatric trauma are sicker on presenta...Continue Reading

References

Mar 7, 2001·The Journal of Trauma·D A SterlingJ Bonadies
Sep 28, 2002·The Journal of Trauma·Michelle D TaylorLena M Napolitano
Dec 27, 2002·JAMA : the Journal of the American Medical Association·Vicki A FreedmanRobert F Schoeni
Jun 24, 2004·The Journal of Trauma·Edward L HannanCarl Rosati
Feb 12, 2005·The Journal of Trauma·Demetrios DemetriadesPeter Rhee
Apr 13, 2005·The Journal of Trauma·Eric BergeronDavid Clas
Mar 2, 2006·The Journal of Trauma·Eric BergeronDavid Clas
Jun 25, 2009·Journal of Orthopaedic Trauma·Emil Schemitsch, Mohit Bhandari
Oct 6, 2009·Lancet·Kaare ChristensenJames W Vaupel
Oct 13, 2010·The Journal of Trauma·Konstantinos SpaniolasPaul E Bankey
Mar 2, 2012·Journal of Orthopaedic Trauma·Julie M KellerRobert V O'Toole
Dec 12, 2012·The Journal of Bone and Joint Surgery. American Volume·Julie A Switzer, Steven R Gammon
Apr 3, 2013·The Orthopedic Clinics of North America·Michael P Leslie, Michael R Baumgaertner
Jun 20, 2015·Journal of Orthopaedic Trauma·Sanjit R KondaMadhav A Karunakar

❮ Previous
Next ❯

Citations

Dec 13, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·J T H PrinsM M E Wijffels
Jul 14, 2020·Injury Epidemiology·Kathryn B SchafferWalter L Biffl
Jan 13, 2021·Journal of Clinical Medicine·Daniel PoppMaximilian Kerschbaum
May 1, 2021·Journal of Clinical Medicine·Maximilian KerschbaumDaniel Popp
Jun 5, 2021·Medicine·David O AlaoFikri M Abu-Zidan
Jul 17, 2021·BMJ Case Reports·Salah James El HaddiAndrew Klapper

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Trauma
Agathoklis KonstantinidisDemetrios Demetriades
Journal of Children's Orthopaedics
E HermansM J R Edwards
Journal of Orthopaedic Trauma
Ida L GitajnMarcus F Sciadini
Geriatric Orthopaedic Surgery & Rehabilitation
Adham AbdelfattahJ Tracy Watson
© 2022 Meta ULC. All rights reserved