Retrospective Analysis of Geriatric Major Trauma Patients Admitted in the Shock Room of a Swiss Academic Hospital: Characteristics and Prognosis

Pagin, Monica; Mabire, Cédric; Cotton, Michael; Zingg, Tobias; Carron, Pierre-Nicolas

doi:10.3390/jcm9051343

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…Improved quality of life of the elderly with increased life expectancy makes them active, exposing them to accidents with a growing number of major trauma cases [7]. So, continued research in managing this subset of patients can lead to protocols and practice guidelines to improve outcomes [8].…”

Section: Discussionmentioning

confidence: 99%

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Profile of Geriatric Trauma in a Developing Country

Anyaehie¹,

Ede²,

Muoghalu³

et al. 2022

JBM

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Geriatric trauma patients require special consideration. They frequently have comorbidities and reduced physiologic reserves, influencing treatment decisions and outcomes. Hence, a comprehensive approach is fundamental to ensure better results. The authors retrospectively evaluated the profile of 332 cases of geriatric trauma over ten years (January 2010-December 2019) at National Orthopaedic Hospital Enugu, in South-East Nigeria. The mean age of patients was 74.78 years (SD = 8.69), with females presenting at a later age than men (76.05 vs 73.69 years), p = 0.013. The commonest mechanism of injury was ground-level fall (47.59%), with proximal femoral fractures being the most common (41.27%). Only 47% of geriatric patients presented to a hospital within 24 hours following injury, and the mean duration of admission was 28 days. Approximately 77% of patients had operative care, and 68.67% expressed satisfaction with the outcome of their management. The mortality rate was 2.11%. In conclusion, most geriatric fractures require surgical intervention and education to facilitate early hospital presentation is needed.

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Section: Discussionmentioning

confidence: 99%

“…The lower limb is the commonest region injured 77.41% (257) followed by the upper limb 9.94% (33), spine 7.23% (24), pelvis 2.41% (8), multiple site 2.11%(7), chest 0.60% (2) and head 0.30%(1). Fractures are the predominant injuryU.…”

mentioning

confidence: 99%

Profile of Geriatric Trauma in a Developing Country

Anyaehie¹,

Ede²,

Muoghalu³

et al. 2022

JBM

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“…Factors like advanced age, male gender, existing conditions, medications, and the injury’s severity and mechanism are critical prognostic elements [ 9 , 10 , 11 ]. The mortality rate among patients over 65 is notably higher, sometimes up to four times that of younger patients [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Jojczuk,

Naylor,

Serwin

et al. 2024

JCM

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Introduction: Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in the Lublin Province of Poland, with a particular focus on the periods before and during the COVID-19 pandemic. Aim of the Study: The primary aim of this research was to assess the trends in trauma admissions, the average length of hospital stays, and mortality rates associated with different types of injuries, comparing urban and rural settings over two distinct time periods: 2018–2019 and 2020–2021. Methods: This descriptive study analyzed trauma admission data from 35 hospitals in the Lublin Province, as recorded in the National General Hospital Morbidity Study (NGHMS). Patients were classified based on the International Classification of Diseases Revision 10 (ICD-10) codes. The data were compared for two periods: an 11-week span during the initial COVID-19 lockdown in 2020 and the equivalent period in 2019. Results: The study found a decrease in overall trauma admissions during the pandemic years (11,394 in 2020–2021 compared to 17,773 in 2018–2019). Notably, the average length of hospitalization increased during the pandemic, especially in rural areas (from 3.5 days in 2018–2019 to 5.5 days in 2020–2021 for head injuries). Male patients predominantly suffered from trauma, with a notable rise in female admissions for abdominal injuries during the pandemic. The maximal hospitalization days were higher in rural areas for head and neck injuries during the pandemic. Conclusions: The study highlights significant disparities in trauma care between urban and rural areas and between the pre-pandemic and pandemic periods. It underscores the need for healthcare systems to adapt to changing circumstances, particularly in rural settings, and calls for targeted strategies to address the specific challenges faced in trauma care during public health crises.

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Airway management in trauma

Louro

Varon

2021

International Anesthesiology Clinics

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Retrospective Analysis of Geriatric Major Trauma Patients Admitted in the Shock Room of a Swiss Academic Hospital: Characteristics and Prognosis

Cited by 4 publications

References 38 publications

Profile of Geriatric Trauma in a Developing Country

Profile of Geriatric Trauma in a Developing Country

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic

Airway management in trauma

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