Trauma in the Elderly: Demographic Trends (1995-2014) in a Major New Zealand Trauma Centre

World Journal of Surgery
Matthew BurstowLi Hsee

Abstract

Population studies have confirmed an increase in the proportion of elderly patients (≥65 years of age), and this could be expected to be reflected in trauma admissions and outcomes. This study aims to investigate the demographic trends for elderly patients admitted following trauma to Auckland City Hospital (ACH) and their outcomes. The ACH Trauma Database was searched from 1995 to 2014, and data including date of admission, injury cause, age, sex, mortality, Injury Severity Score (ISS), Intensive Care Unit (ICU) stay and length of stay (LOS) were extracted. A total of 26,882 patients were identified, with 4428 patients ≥65 years of age admitted following trauma. In the mid-1990s between 200 and 250 trauma patients ≥65 years were admitted to ACH annually. This has increased to >400 in 2014 and now represents >20% of all admissions. Females are over represented (61.7%) in those ≥65 years (vs. 29.4% in < 65 years, p < 0.001), and falls are the greatest cause of admission for trauma in those ≥65 years at 72% (vs. 36.9% in those < 65 years, p < 0.001). Elderly trauma patients are more than twice as likely to die (5.6% vs. 2.3%, p < 0.001) compared with trauma patients < 65 years despite an identical median ISS of 4 (p = 0.86). Furt...Continue Reading

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