Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Hospital Universitário de Curitiba

Abstract

Comparative study of trauma in the elderly and non-elderly Comparative study of trauma in the elderly and non-elderly Comparative study of trauma in the elderly and non-elderly Comparative study of trauma in the elderly and non-elderly Comparative study of trauma in the elderly and non-elderly patients in a University Hospital in Curitiba patients in a University Hospital in Curitiba patients in a University Hospital in Curitiba patients in a University Hospital in Curitiba patients in a University Hospital in Curitiba Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Estudo comparativo entre o trauma em idosos e não idosos atendidos em um Estudo comparativo entre o trauma em idosos e não idosos atendidos em um 2010 and February, 25 th 2011; patients were classified into GI: elderly (60 years or older) and GA: non-elderly (13-59 years). We collected information on the mechanism of trauma, injuries and factors associated with the event, which were compared between groups by using chi-square, Student t and proportions tests. Results Results ResultsResults Results: Falls were more frequent in GI, mostly from the standing height, while violence and traffic accidents (especially with motorcycles) were the most important in GA. Both groups possessed mild trauma (bruises, sprains) as the most frequent, followed by traumatic brain injury (TBI) and fractures. Femur fractures were more common in the elderly, and hand and wrist fractures in the nonelderly. The elderly were hospitalized fewer days and there was no difference as for complications, need for intensive care unit (ICU), or mortality between groups. Conclusion Conclusion Conclusion Conclusion Conclusion: Falls from the standing height are more frequent in the elderly, and motorcycle accidents and interpersonal violence in the non-elderly. Both groups had superficial injuries, head trauma and fractures as major injuries. The elderly were hospitalized for less time. There was no difference in the need for ICU, complications and mortality. Young people tend to get involved in trauma by external violence and traffic accidents, influenced largely by the use of alcohol and drugs 3 . In the elderly there is a greater incidence of nonviolent traumas, generally predisposed by use of drugs or age-related diseases, such as gait disturbances, decreased visual acuity or hearing and osteoporosis 4 . Among those younger than 60 years, the population aged between 15 and 44 years has a higher risk of death from unintentional causes in relation to other groups, this risk being highest in the group 15-29 years.From 45 on, mortality decreases and unintentional causes tend to increase in proportion.When it comes to the elderly population, the number of hospitalizations was lower, around 190,000 in the period from 2008 to January 2010, the mortality rate was 5.45 and the average hospital stay, approximately six day...

Idosos vítimas de quedas admitidos na terapia intensiva: um estudo retrospectivo analítico

“…Doenças preexistentes e medicamentos interferem diretamente na condição respiratória e hemodinâmica do idoso, o que muitas vezes mascara a gravidade do trauma e precipita estados de hipoperfusão e hipóxia em pacientes com mais incidência de doenças arteriais. 11,14,15 Idosos com quedas recorrentes podem ser considerados um grupo de alto risco para novas quedas, risco que aumenta com a idade. Idosos com histórico de quedas e de comorbidades podem ter redução das atividades de vida diária, o que contribui para que se tornem mais frágeis.…”

“…Seu custo social é elevado, já que muitas vezes o idoso requer cuidados médicos intensivos e programas de reabilitação por longos períodos. 7,15,18 A maioria (82,7%) dos idosos sofreu intervenção cirúrgica (neurocirurgia ou cirurgia ortopédica). O tempo médio de espera por um leito de UTI foi de 1,9 dia, o que pode ter sido influenciado pelo grande número de cirurgias eletivas ortopédicas decorrentes de fraturas, que têm transferência imediata do paciente para a UTI ao fim do procedimento cirúrgico.…”

Trauma in the elderly caused by traffic accident: integrative review

“…Broska Júnior CA, Folchini AB, Ruediger RR (7) . Cross-sectional (n=3.112) To compare differences in the elderly and non-elderly profile of trauma victims.…”

“…In Brazil, the profile of events to external causes in the elderly differs in some aspects from what occurs among younger, with a greater vulnerability to pedestrian traffic accidents, calling attention to the high proportion of deaths from this cause (48.2%) (7,9,35) . Considering this issue, research conducted in Maringa associated factors as responsible for accidents limitations of aging as the most restricted mobility, lack of attention, visual and hearing difficulties, among other deficiencies from aging, as well as the time of the traffic lights on the roads, which not always allow the completion of the crossing at the scheduled time.…”

“…National and international studies claim that the occurrence of common aging factors such as frailty, comorbidities, polypharmacy, functional, physical and cognitive limitations make traumatic injuries more complicated to prevent among the elderly. For this reason, the evaluation protocols of trauma among people over the age of 60 must be considered with special attention, since the injuries can be hidden, increasing the risk of fatal outcome (7,(21)(22)(26)(27)33,36) . In Canada, a study investigated the records of trauma in a period of seven years and analyzed the nature of the injuries and the need for modification of screening protocols recommended in specialized geriatric assessment and suitability of these documents for conducting appropriate referral to proper centers (36) .…”