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Outcomes of trauma in centenarians
M J R Kent1, R R Elliot, H P Taylor
1Department of Trauma & Orthopaedics, Poole Hospital, Longfleet Road, Poole, Dorset, United Kingdom. mikekent_100@hotmail.com
Injury
|February 17, 2009
Summary
Outcomes for centenarian trauma patients are presented. These extreme elderly individuals require careful management, with age alone not determining treatment, and collaborative care improving outcomes.
Area of Science:
- Geriatric Trauma Care
- Elderly Patient Outcomes
- Orthogeriatrics
Background:
- Centenarian trauma patients represent a growing demographic.
- Investigating outcomes for this unique patient group is crucial.
- The increasing elderly population presents challenges to healthcare systems.
Purpose of the Study:
- To investigate the outcomes of trauma patients aged 100 years and older.
- To inform management decisions for extreme elderly trauma patients.
- To highlight the importance of collaborative care in this population.
Main Methods:
- Retrospective cohort study over a 2-year period.
- Data collected from patient notes and the CaMIS database.
- Inclusion criteria: age ≥100 years, trauma history, Poole Hospital admission.
Main Results:
- 24 centenarian trauma patients (26 admissions) were analyzed.
- Majority were female (23/24); 13 sustained fractured neck of femur.
- Five inpatient deaths; 1-year mortality was 10/24. Most discharged patients returned home.
Conclusions:
- Centenarian trauma patients present complex management challenges.
- Orthopaedic/geriatric collaborative care is essential and should evolve.
- Age alone should not preclude operative treatment consideration.
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