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Long term outcomes in older trauma patients admitted to the ICU: A prospective study
Katherine M Kelley1, Daisy Proksch2, Sasha White3
1Eastern Virginia Medical School, Department of Surgery, 825 Fairfax Ave, 6th Floor Norfolk, VA, 23507, USA.
Background:
Prior studies have shown an increase in mortality in elderly patients when compared to their younger cohort.
Methods:
Level 1 trauma patients ≥50 years old were recruited upon admission to the ICU and prospectively followed. After an initial survey, inpatient data were collected and phone surveys were completed at 3 and 6 months.
Results:
100 patients were included. There was an 18% inpatient mortality. At 6 months, the mortality rate was 24%; 73% of surviving patients reported good health. 6-month nonsurvivors had a higher percentage requiring preinjury assistance with ambulation.
Conclusions:
Severe trauma in patients ≥50 years of age carries a significant rate of mortality however survivors have good outcomes. Need for assistance with ambulation prior to injury is associated with 6 month mortality and could be used as a screening tool for interventions.
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