Análise comparativa das características do trauma entre idosos com idade superior e inferior a 80 anos

Abstract

OBJETIVO: comparar as características do trauma entre idosos e "superidosos". MÉTODOS: análise retrospectiva dos protocolos de vítimas de trauma fechado com idade igual ou superior a 70 anos. Os idosos de idade entre 70 e 79 anos foram incluídos no grupo I, os de idade igual ou maior de 80 anos no grupo II. Análise estatística foi realizada através dos testes t de Student, qui-quadrado e Fisher, considerando p<0,05 significativo. RESULTADOS: Foram incluídos no estudo 281 doentes (grupo I-149; grupo II-132). A idade variou de 70 a 99 anos (79,1 ± 6,7 anos), sendo 52,3% do sexo masculino. Os superidosos se caracterizaram por apresentar menor média de AIS em abdome (0,10 ± 0,59 vs. 0,00 ± 0,00; p=0,029), menor frequência de vítimas do sexo masculino (59,1% vs. 44,3%; p=0,013), maior frequência de queda da própria altura (44,3% vs. 65,2%; p=0,028) e menor frequência de fraturas de membros superiores (9,4% vs. 2,3%; p=0,010). Não observamos diferença significativa na comparação das demais variáveis entre os grupos. CONCLUSÃO: O trauma em idosos é um grave problema de saúde pública, com tendência à piora progressiva pelo envelhecimento da população. Os dados deste estudo nos auxiliam com uma visão mais clara do trauma nos superidosos, um subgrupo que merece atenção especial.

Trauma by Traffic Accident in Elderly People: Risk Factors and Consequences

“…Similar results in relation to age were also observed in national studies that investigated trauma in the elderly, indicating the presence of characteristics of the younger adult population, among these individuals, 7,[11][12] a fact observed in this study, which evidenced a predominance of cases in the range from 60 to 79 years of age. Investigations also confirm the highest proportion of victims as male.…”

“…Investigations also confirm the highest proportion of victims as male. 6,12 However, in relation to the occurrence by sex, a study of the epidemiology of unintentional injury in Swedish elderly identified a higher incidence in females. 13 However, in this study the mechanisms of trauma were analyzed together, and falling in the domestic environment was the most frequent accident in the studied populations.…”

Comparative analysis of the frequency and the severity of diagnosed lesions between pedestrians struck by motor vehicles and other blunt trauma mechanisms victims

“…In the present study, mean age of pedestrians struck by vehicles was higher than that of patients with other mechanisms of blunt trauma. This finding is in line with earlier studies showing that vehicle-pedestrian accidents were the secondmost-common cause of trauma in older-old aged 70 years and over and the leading cause among older adults aged 60-70 years 21 . The importance of prevention, specifically in this group highly vulnerable to such trauma, is clear.…”

Profile of hip arthroplasty patients in a teaching hospital

“…Fall from standing position was also the most common mechanism of injury among elderly patients from the emergency department of the São Paulo Holy Home 14 . In the present study the main cause of hip replacement surgery was femoral neck fracture caused by falling from a standing position, in 92% of cases.…”