Mortality in severely injured elderly trauma patients - When does age become a risk factor?

被引：164

作者：

Kuhne, CA

Ruchholtz, S

Kaiser, GM

Nast-Kolb, D

机构：

[1] Univ Hosp, Dept Trauma Surg, Essen, Germany

[2] Univ Hosp, Dept Gen Surg & Transplantat, Essen, Germany

来源：

WORLD JOURNAL OF SURGERY | 2005年 / 29卷 / 11期

关键词：

D O I：

10.1007/s00268-005-7796-y

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Age is a well-known risk factor in trauma patients. The aim of the present study was to define the age-dependent cut-off for increasing mortality in multiple injured patients. Pre-existing medical conditions in older age and impaired age-dependent physiologic reserve contributing to a worse outcome in multiple injured elderly patients are discussed as reasons for increased mortality. A retrospective clinical study of a statewide trauma data set from 1993 through 2000 included 5375 patients with an Injury Severity Score (ISS) >= 16 who were stratified by age. The ISS and Abbreviated Injury Score (AIS) quantified the injury severity. Outcome measures were mortality.

引用

页码：1476 / 1482

页数：7

共 27 条

[1]

BARDENHEUE M, 1994, UNFALLCHIRURG, V97, P230

[2] Trauma patients 75 years and older: Long-term follow-up results justify aggressive management [J].

Battistella, FD ;

Din, AM ;

Perez, L .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1998, 44 (04) :618-623

[3] THE MAJOR TRAUMA OUTCOME STUDY - ESTABLISHING NATIONAL NORMS FOR TRAUMA CARE [J].

CHAMPION, HR ;

COPES, WS ;

SACCO, WJ ;

LAWNICK, MM ;

KEAST, SL ;

BAIN, LW ;

FLANAGAN, ME ;

FREY, CF .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1990, 30 (11) :1356-1365

[4] Old age as a criterion for trauma team activation [J].

Demetriades, D ;

Sava, J ;

Alo, K ;

Newton, E ;

Velmahos, GC ;

Murray, JA ;

Belzberg, H ;

Asensio, JA ;

Berne, TV .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2001, 51 (04) :754-756

[5] COMPARISON OF OUTCOME IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION AGED GREATER-THAN-75 YEARS WITH THAT IN YOUNGER PATIENTS [J].

DEVLIN, W ;

CRAGG, D ;

JACKS, M ;

FRIEDMAN, H ;

ONEILL, W ;

GRINES, C .

AMERICAN JOURNAL OF CARDIOLOGY, 1995, 75 (08) :573-576

[6] Prevalence of the metabolic syndrome among US adults - Findings from the Third National Health and Nutrition Examination Survey [J].

Ford, ES ;

Giles, WH ;

Dietz, WH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 287 (03) :356-359

[7] When is an elder old? Effect of preexisting conditions on mortality in geriatric trauma [J].

Grossman, MD ;

Miller, D ;

Scaff, DW ;

Arcona, S .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2002, 52 (02) :242-246

[8] Practice management guidelines for geriatric trauma: The EAST practice management guidelines work group [J].

Jacobs, DG ;

Plaisier, BR ;

Barie, PS ;

Hammond, JS ;

Holevar, MR ;

Sinclair, KE ;

Scalea, TM ;

Wahl, W .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 54 (02) :391-416

[9]

Kühne CA, 2003, UNFALLCHIRURG, V106, P380, DOI 10.1007/s00113-003-0579-8

[10] MORTALITY AND MORBIDITY RATES OF PATIENTS OLDER AND YOUNGER THAN 75 YEARS WITH ACUTE MYOCARDIAL-INFARCTION TREATED WITH INTRAVENOUS STREPTOKINASE [J].

LEW, AS ;

HOD, H ;

CERCEK, B ;

SHAH, PK ;

GANZ, W .

AMERICAN JOURNAL OF CARDIOLOGY, 1987, 59 (01) :1-5

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