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Article

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

1
Department of Emergency Medicine, Lausanne University Hospital, University of Lausanne, 1011 Lausanne, Switzerland
2
Institute of Higher Education and Research in Healthcare-IUFRS, University of Lausanne, Lausanne University Hospital, 1011 Lausanne, Switzerland
3
Department of Visceral Surgery, Lausanne University Hospital, University of Lausanne, 1011 Lausanne, Switzerland
*
Author to whom correspondence should be addressed.
T.Z. and P.-N.C. shared senior authorship.
J. Clin. Med. 2020, 9(5), 1343; https://doi.org/10.3390/jcm9051343
Received: 9 April 2020 / Revised: 30 April 2020 / Accepted: 30 April 2020 / Published: 4 May 2020
(This article belongs to the Section Emergency Medicine)
Increased life expectancy exposes a great number of elderly people to serious accidents, thus increasing the amount of major geriatric trauma cases. The aim of our study was to determine the profile of elderly patients undergoing major trauma, and the contributing factors predicting mortality in this specific patient group, compared to the younger population. Retrospective analysis of 1051 patients with major trauma admitted over ten years in a Level-1 trauma center was performed. Data collected were: history, nature and type of trauma; age and sex; vital signs on admission; injury severity score; shock index; comorbidities; coagulation diathesis; injury patterns; emergency measures taken; main diagnosis; mortality; and length of hospital and intensive care unit (ICU) stay. Geriatric patients admitted for major trauma have a mortality rate almost four times greater (47%) than their younger counterparts (14%) with the same ISS. According to statistical regression analysis, anti-platelet therapy (OR 3.21), NACA (National Advisory Committee for Aeronautics) score (OR 2.23), GCS (OR 0.83), ISS (OR 1.07) and age (OR 1.06) are the main factors predicting mortality. Conclusion: Geriatric major trauma patients admitted to our trauma resuscitation area have a high mortality rate. Age, GCS, ISS and NACA scores as well as anti-platelet therapy are the main factors predicting mortality. View Full-Text
Keywords: geriatric; major trauma; mortality; trauma resuscitation geriatric; major trauma; mortality; trauma resuscitation
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MDPI and ACS Style

Pagin, M.; Mabire, C.; Cotton, M.; Zingg, T.; Carron, P.-N. Retrospective Analysis of Geriatric Major Trauma Patients Admitted in the Shock Room of a Swiss Academic Hospital: Characteristics and Prognosis. J. Clin. Med. 2020, 9, 1343. https://doi.org/10.3390/jcm9051343

AMA Style

Pagin M, Mabire C, Cotton M, Zingg T, Carron P-N. Retrospective Analysis of Geriatric Major Trauma Patients Admitted in the Shock Room of a Swiss Academic Hospital: Characteristics and Prognosis. Journal of Clinical Medicine. 2020; 9(5):1343. https://doi.org/10.3390/jcm9051343

Chicago/Turabian Style

Pagin, Monica, Cédric Mabire, Michael Cotton, Tobias Zingg, and Pierre-Nicolas Carron. 2020. "Retrospective Analysis of Geriatric Major Trauma Patients Admitted in the Shock Room of a Swiss Academic Hospital: Characteristics and Prognosis" Journal of Clinical Medicine 9, no. 5: 1343. https://doi.org/10.3390/jcm9051343

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