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J. Clin. Med. 2018, 7(9), 255; https://doi.org/10.3390/jcm7090255

Clinical Outcome and Management for Geriatric Traumatic Injury: Analysis of 2688 Cases in the Emergency Department of a Teaching Hospital in Taiwan

1
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
2
Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan
3
Research Assistant Center, Show Chwan Memorial Hospital, Changhua 500, Taiwan
4
Department of Medical Research, Chang Bing Show Chwan Memorial Hospital, Changhua 505, Taiwan
5
Superintendent Office, Nursing Department, Show Chwan Memorial Hospital, Changhua 505, Taiwan
6
College of Nursing and Health Sciences, Da-Yeh University, Changhua 515, Taiwan
*
Authors to whom correspondence should be addressed.
Received: 23 July 2018 / Revised: 23 August 2018 / Accepted: 3 September 2018 / Published: 4 September 2018
(This article belongs to the Special Issue Advanced Analytical Methods in Clinical Diagnosis and Therapy)
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Abstract

Geriatric traumatic injuries in emergency departments are frequent and associated with higher mortality rates and catastrophic functional outcomes. Several prediction scores have been established to manage traumatic patients, including the shock index (SI), revised trauma score (RTS), injury severity score (ISS), trauma injury severity score (TRISS), and new injury severity score (NISS). However, it was necessary to investigate the effectiveness and efficiency of care for the geriatric traumatic population. In addition, image studies such as computed tomography and magnetic resonance imaging play an important role in early diagnosis and timely intervention. However, few studies focus on this aspect. The association between the benefit of carrying out more image studies and clinical outcomes remains unclear. In this study, we included a total of 2688 traumatic patients and analyzed the clinical outcomes and predicting factors in terms of geriatric trauma via pre-hospital and in-hospital analysis. Our evaluation revealed that a shock index ≥1 may be not a strong predictor of geriatric trauma due to the poor physical response in the aging population. This should be modified in geriatric patients. Other systems, like RTS, ISS, TRISS, and NISS, were significant in terms of predicting the clinical outcome. View Full-Text
Keywords: geriatric population; traumatic injury; shock index; mortality geriatric population; traumatic injury; shock index; mortality
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Wu, M.-Y.; Chen, Y.-L.; Yiang, G.-T.; Li, C.-J.; Lin, A.S.-C. Clinical Outcome and Management for Geriatric Traumatic Injury: Analysis of 2688 Cases in the Emergency Department of a Teaching Hospital in Taiwan. J. Clin. Med. 2018, 7, 255.

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