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Published on: April 18, 2011
Trauma in the elderly patients in Bursa
Sule Akköse Aydin1, Mehtap Bulut, Recep Fedakar
1Department of Emergency Medicine, Uludağ University Medical Faculty, 16059 Bursa, Turkey. suleakkose@yahoo.com
Summary
Elderly trauma patients face high mortality, with injury severity and advanced age as key predictors. Pedestrian-vehicle collisions significantly increase mortality risk in this demographic.
Area of Science:
- Geriatric Trauma
- Epidemiology
- Injury Prevention
Background:
- Elderly trauma patients represent a growing concern in emergency medicine.
- Understanding epidemiology and clinical features is crucial for improving outcomes.
- National trauma data requires contributions from diverse patient populations.
Purpose of the Study:
- To determine the epidemiology and clinical features of trauma in elderly patients (≥65 years).
- To investigate factors influencing mortality and morbidity in this cohort.
- To contribute valuable data to national trauma registries.
Main Methods:
- Retrospective analysis of 371 trauma patients aged 65 and older.
- Inclusion of patient demographics, diagnoses, injury severity scores (GCS, RTS, ISS), and injury sites.
- Analysis of hospital disposition, prognosis, and mortality rates.
Main Results:
- The study included 371 elderly trauma patients (mean age 71.9 years).
- Mortality rate was 10.2% (38/371), with injury severity, increasing age, and mechanism of injury as predictors.
- Head trauma (36.4%) and extremity trauma (36.4%) were the most common injuries; head and abdominal trauma were more frequent in non-survivors.
Conclusions:
- Injury severity and advanced age are significant predictors of mortality in elderly trauma patients.
- Pedestrian-vehicle collisions are associated with a higher mortality rate compared to other trauma mechanisms.
- Head and extremity injuries are the most prevalent in this elderly trauma population.
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