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Published on: November 20, 2016
Geriatric trauma: resource use and patient outcomes
Elaine C McKevitt1, Eric Calvert, Alex Ng
1Department of Surgery, Division of Trauma Services, University of British Columbia, Vancouver, BC.
Summary
Elderly trauma patients require more resources and have longer hospital stays but aggressive care and rehabilitation can improve outcomes. Targeted care pathways can further enhance recovery for geriatric trauma survivors.
Area of Science:
- Trauma Surgery
- Geriatric Medicine
- Patient Outcomes
Background:
- Elderly trauma patients exhibit higher mortality rates and consume more resources compared to younger counterparts.
- This study compares outcomes and characteristics of geriatric trauma patients against a younger cohort.
Purpose of the Study:
- To compare the outcomes and characteristics of elderly trauma patients (>=65 years) with a younger trauma patient group (20-30 years).
- To identify factors influencing recovery and resource utilization in geriatric trauma care.
Main Methods:
- A retrospective review of 40 geriatric trauma patients (Injury Severity Score [ISS] >= 16) compared with 44 younger patients.
- Data collected included length of hospital stay, complications, patient disposition, and consultation services.
- Follow-up was conducted 2 years post-discharge via family physicians.
Main Results:
- Geriatric patients had significantly longer hospital stays (34.5 vs. 21.6 days) and experienced more complications (35% vs. 13%).
- In-hospital mortality rates were similar (8% vs. 4%), but fewer geriatric patients were discharged home (35% vs. 27%).
- 75% of discharged geriatric patients were independent at 2-year follow-up if sent home or to rehabilitation.
Conclusions:
- Aggressive management and resource allocation towards rehabilitation are crucial for geriatric trauma patients.
- Developing directed care pathways targeting complications and early discharge can optimize outcomes for elderly trauma survivors.
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