Literature DB >> 8798374

Comorbidity and the elderly trauma patient.

D J McMahon1, C W Schwab, D Kauder.   

Abstract

The elderly are forming an increasingly larger proportion of the population in developed countries with increasingly active life styles. The injured elderly patient has a combination of decreased physiologic reserve and a high incidence of preexisting medical conditions that cause comparably worse outcome, complications, longer hospital stay, and high costs. Although the management of specific injuries is similar in the elderly, many benefit from an overall more aggressive approach to early resuscitation and optimization of cardiopulmonary dynamics. An awareness of the importance of preexisting medical conditions and a coordinated, directed approach to the management of the injuries and the concomitant diseases leads to the most effective care. Upon recovery from injury there is often a change of functional level that precipitates a change in social circumstance. Ethical dilemmas, both at individual and community levels, may arise more frequently in the older trauma patient population. Increased triage to a trauma center, particularly when concomitant disease is present, is justified on the basis of improving outcomes.

Entities:  

Mesh:

Year:  1996        PMID: 8798374     DOI: 10.1007/s002689900170

Source DB:  PubMed          Journal:  World J Surg        ISSN: 0364-2313            Impact factor:   3.352


  15 in total

Review 1.  Aging and wound healing.

Authors:  Ankush Gosain; Luisa A DiPietro
Journal:  World J Surg       Date:  2004-02-17       Impact factor: 3.352

2.  Mortality in severely injured elderly trauma patients--when does age become a risk factor?

Authors:  Christian A Kuhne; Steffen Ruchholtz; Gernot M Kaiser; Dieter Nast-Kolb
Journal:  World J Surg       Date:  2005-11       Impact factor: 3.352

3.  Patient-reported functional outcomes and health-related quality of life following fractures of the talus.

Authors:  P Stirling; S P MacKenzie; J F Maempel; C McCann; R Ray; N D Clement; T O White; J F Keating
Journal:  Ann R Coll Surg Engl       Date:  2019-06-03       Impact factor: 1.891

4.  The severity of disparity: increasing injury intensity accentuates disparate outcomes following trauma.

Authors:  Lia I Losonczy; P Logan Weygandt; Cassandra V Villegas; Erin C Hall; Eric B Schneider; Lisa A Cooper; Edward E Cornwell; Elliott R Haut; David T Efron; Adil H Haider
Journal:  J Health Care Poor Underserved       Date:  2014-02

5.  Comorbidity and age are both independent predictors of length of hospitalization in trauma patients.

Authors:  Eric Bergeron; André Lavoie; Lynne Moore; David Clas; Michel Rossignol
Journal:  Can J Surg       Date:  2005-10       Impact factor: 2.089

6.  Age and preexisting conditions as risk factors for severe adverse events and failure to rescue after injury.

Authors:  Emily Earl-Royal; Elinore J Kaufman; Jesse Y Hsu; Douglas J Wiebe; Patrick M Reilly; Daniel N Holena
Journal:  J Surg Res       Date:  2016-07-05       Impact factor: 2.192

7.  Patients with pelvic fractures due to falls: A paradigm that contributed to autopsy-based audit of trauma in Greece.

Authors:  Iordanis N Papadopoulos; Nikolaos K Kanakaris; Stefanos Bonovas; George Konstantoudakis; Konstantina Petropoulou; Spyridon Christodoulou; Olympia Kotsilianou; Christos Leukidis
Journal:  J Trauma Manag Outcomes       Date:  2011-01-08

8.  Survivorship and severe complications are worse for octogenarians and elderly patients with pelvis fractures as compared to adults: data from the national trauma data bank.

Authors:  Amir Matityahu; Joshua Elson; Saam Morshed; Meir Marmor
Journal:  J Osteoporos       Date:  2012-11-07

9.  Elderly trauma mortality in a resource-limited setting: A benchmark for process improvement.

Authors:  Brittney M Williams; Linda Kayange; Laura Purcell; Anthony Charles; Jared Gallaher
Journal:  Injury       Date:  2021-07-08       Impact factor: 2.687

10.  Efficiency Analysis of Direct Video-Assisted Thoracoscopic Surgery in Elderly Patients with Blunt Traumatic Hemothorax without an Initial Thoracostomy.

Authors:  Wen-Yen Huang; I-Yin Lu; Chyan Yang; Yi-Pin Chou; Hsing-Lin Lin
Journal:  Biomed Res Int       Date:  2016-04-14       Impact factor: 3.411

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