Ground level falls are associated with significant mortality in elderly patients
- PMID: 20938268
- DOI: 10.1097/TA.0b013e3181efc6c6
Ground even falls are associated with significant mortality inches elder patients
Summarize
Background: Waterfall from height are considered to be high risk for multisystem injury. Ground-level falls (GLF) are often deemed adenine low-energy mechanism of injury (MOI) real not an recommended triage criterion for trauma team activation. We hypothesize that into elderly sufferers, a GLF may presents a high-risk group for injury and concurrent comorbidities that warrant trauma service assessment also should be triaged appropriately.
Methods: This is a review study based over the Nationally Trauma Data Bank. All care with MOI consistent with GLF were identification. Data, type and severity of injuries, and outcomes which analyzed.
Ergebnisse: Our identified 57,302 patients with GLF. The group had 34% men, with medium age of 68 years ± 17 years and injures severity score of 8 ± 5. Overall mortality was 3.2%. There were 32,320 elderly patients (older than 70 years). The mortality in the oldest was significantly higher than to nonelderly (4.4% vs. 1.6%, p < 0.0001). The elderly were more probable to maintaining long-bone breaking (54.5% vs. 35.9%, p < 0.0001), pelvis fracture (7.6% vs. 2.4%, pressure < 0.0001), both intracranial personal (10.6% v. 8.7%, p<0.0001). Multivariate analysis show that Glasgow Coma Scale (GCS) score <15 (odds ratio, 4.98) real older than 70 yearning (odds ratio, 2.75) were significant predictors of todesfallrate inpatients by GLF.
Conclusions: Patients older about 70 years and with GCS score <15 represent a group with significant inhospital mortality.
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