tailieunhanh - Báo cáo y học: "Polytrauma in the elderly: predictors of the cause and time of death"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Polytrauma in the elderly: predictors of the cause and time of death | Clement et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 26 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access Polytrauma in the elderly predictors of the cause and time of death Nicholas D Clement 1 Carole Tennant2 and Cyrus Muwanga2 Abstract Background Increasing age and significant pre-existing medical conditions PMCs are independent risk factors associated with increased mortality after trauma. Our aim was to review all trauma deaths identifying the cause and the relation to time from injury ISS age and PMCs. Methods A retrospective analysis of trauma deaths over a 6-year period at the study centre was conducted. Information was obtained from the Trauma Audit and Research Network TARN dataset hospital records death certificates and post-mortem reports. The time and cause of death ISS PMCs were analysed for two age groups 65 years and 65 years . Results Patients 65 years old were at an increased risk of death OR 95 CI p . Thirty-two patients with an ISS of 15 and died within the first 24 hours of admission irrespective of age from causes directly related to their injuries. Twelve patients with an ISS of 16 died after 13 days of medical conditions not directly related to their injuries p . Thirty four patients had significant PMCs of which 11 were 65 years of that age group and 23 were 65 years of that age group p . The risk of dying late after sustaining minor trauma ISS 16 is increased if a PMC exists OR p . Conclusion Elderly patients with minor injuries and PMCs have an increased risk of death relative to their younger counterparts and are more likely to die of medical complications late in their hospital admission. Introduction The elderly population within the United Kingdom continues to grow 1 and hence we are encountering more elderly patients who have suffered trauma. Despite this growing number of elderly patients they form a small percentage of .