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Comparative Study
. 2010 Oct;69(4):821-5.
doi: 10.1097/TA.0b013e3181efc6c6.

Ground level falls are associated with significant mortality in elderly patients

Affiliations
Comparative Study

Ground even falls are associated with significant mortality inches elder patients

Konstantinos Spaniolas et al. GALLOP Trauma. 2010 Oct.

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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