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Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study
1Thoracic Surgery Department, Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No: 11, Bakırköy/İstanbul, 34147, Turkey. servetozdemir74@hotmail.com.
Aim:
The aim of this study was to evaluate survival rates in elderly individuals who have undergone thoracic trauma and to investigate the risk of mortality for 6 months.
Method:
In this study, the mortality rate was evaluated in 400 thorax trauma cases referred to thoracic surgery, between 65 and 101 years of age. Six-month survival rates in discharged cases of thoracic trauma were examined by using Turkey's Health Ministry Death Notification System.
Results:
It was found that thoracic traumas evaluated in the study were due to 314 (78.5%) falls and 51 (12.8%) exterior vehicle traffic accident. It was found that the presence of hemopneumothorax (OR 5.82; 95% CI 1.31-25.98; p = 0.021), and the presence of multiple trauma (OR 16.49; 95% CI 3.13-86.91; p = 0.001) had statistically significant effects on the mortality risk from the moment of the event to the emergency treatment period. In addition, it was found that age (OR 1.06; 95% CI 1.01-1.11; p = 0.011), male gender (OR 2.55; 95% CI 1.15-5.68; p = 0.022), and the presence of comorbidities (OR 3.07; 95% CI 1.29-7.31; p = 0.011) statistically significantly increased mortality during the six months after trauma.
Conclusion:
It should be kept in mind that the presence of multiple trauma and the presence of hemopneumothorax increase the risk of death in elderly thoracic trauma cases consulted for thoracic surgery.
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