The effect of traumatic head injuries on the outcome of middle-aged and geriatric orthopedic trauma patients
被引:2
作者:
论文数: 引用数:
h-index:
机构:
Ranson, Rachel
[1
,2
]
Esper, Garrett W.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthopaed Hosp, New York, NY USANYU, Langone Orthopaed Hosp, New York, NY USA
Esper, Garrett W.
[1
]
Woodruff, Robert
论文数: 0引用数: 0
h-index: 0
机构:
Campbell Univ, Sch Osteopath Med, Lillington, NC USANYU, Langone Orthopaed Hosp, New York, NY USA
Woodruff, Robert
[3
]
Solasz, Sara J.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthopaed Hosp, New York, NY USANYU, Langone Orthopaed Hosp, New York, NY USA
Solasz, Sara J.
[1
]
Egol, Kenneth A.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthopaed Hosp, New York, NY USA
Jamaica Hosp Med Ctr, 8900 Van Wyck Expy, Queens, NY 11418 USANYU, Langone Orthopaed Hosp, New York, NY USA
Egol, Kenneth A.
[1
,4
]
Konda, Sanjit R.
论文数: 0引用数: 0
h-index: 0
机构:
NYU, Langone Orthopaed Hosp, New York, NY USA
Jamaica Hosp Med Ctr, 8900 Van Wyck Expy, Queens, NY 11418 USANYU, Langone Orthopaed Hosp, New York, NY USA
Konda, Sanjit R.
[1
,4
]
机构:
[1] NYU, Langone Orthopaed Hosp, New York, NY USA
[2] George Washington Univ Hosp, 900 23rd St NW, Washington, DC 20037 USA
[3] Campbell Univ, Sch Osteopath Med, Lillington, NC USA
[4] Jamaica Hosp Med Ctr, 8900 Van Wyck Expy, Queens, NY 11418 USA
来源:
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
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2024年
/
55卷
/
03期
Background: The purpose of this study is to characterize the effects of head injuries amongst the middle-aged and geriatric populations on hospital quality measures, costs, and outcomes in an orthopedic trauma setting. Methods: Patients with head and orthopedic injuries aged >55 treated at an academic medical center from October 2014 -April 2021 were reviewed for their Abbreviated Injury Score for Head and Neck (AIS-H), baseline demographics, injury characteristics, hospital quality measures and outcomes. Univariate comparative analyses were conducted across AIS-H groups with additional regression analyses controlling for confounding variables. All statistical analyses were conducted with a Bonferroni adjusted alpha. Results: A total of 1,051 patients were included. The mean age was 74 years, and median AIS-H score was 2 (range 1-6). While outcomes worsened and costs increased as AIS-H scores increased, the most drastic (and clinically relevant) rise occurs between scores 2-3. Patients who sustained a head injury warranting an AIS-H score of 3 experienced a significantly higher rate of major complications, need for ICU admission, inpatient and 1 -year mortality with longer lengths of stay and higher total costs despite no differences in demographics or injury characteristics. Regression analysis found a higher AIS-H score was independently associated with greater mortality risk. Conclusion: AIS-H scores >2 correlate with significantly worse outcomes and higher hospital costs. Concomitant head injuries impact both outcomes and direct variable costs for middle-aged and geriatric orthopedic trauma patients. Clinicians, hospitals, and payers should consider the significant effect of head injuries on the hospitalization of these patients.
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Easter, Joshua S.
Haukoos, Jason S.
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USA
Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Haukoos, Jason S.
Claud, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Legacy Salmon Creek Hosp, Dept Emergency Med, Vancouver, WA USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Claud, Jonathan
Wilbur, Lee
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Indiana Univ Sch Med, Dept Emergency Med, Indianapolis, IN 46202 USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Wilbur, Lee
Hagstrom, Michelle Tartalgia
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
St Marys Hlth Ctr, Richmond Hts, MO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Hagstrom, Michelle Tartalgia
Cantrill, Stephen
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Cantrill, Stephen
Mestek, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Radiol, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Mestek, Michael
Symonds, David
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Radiol, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Symonds, David
Bakes, Katherine
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Scharringa, Samantha
Krijnen, Pieta
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Network Acute Care West, RIJNSBURGERWEG 10, NL-2333 AA LEIDEN, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Krijnen, Pieta
van de Linde, Pieter
论文数: 0引用数: 0
h-index: 0
机构:
Haga Hosp, Dept Surg, Els Borst Eilersplein 275, NL-2545 AA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
van de Linde, Pieter
Stigter, Willem
论文数: 0引用数: 0
h-index: 0
机构:
Haga Hosp, Dept Surg, Els Borst Eilersplein 275, NL-2545 AA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Stigter, Willem
Stollenwerck, Guido
论文数: 0引用数: 0
h-index: 0
机构:
Alrijne Hosp, Dept Surg, Simon Smitweg 1, NL-2353 GA Leiderdorp, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
机构:
Reinier Graaf Hosp, Dept Surg Traumatol, Reinier Graafweg 5, NL-2625 AD Delft, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Hartholt, Klaas
Hoogendoorn, Jochem Maarten
论文数: 0引用数: 0
h-index: 0
机构:
Haaglanden Med Ctr, Dept Surg, Lijnbaan 32, NL-2512 VA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Hoogendoorn, Jochem Maarten
Schipper, Inger B.
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Network Acute Care West, RIJNSBURGERWEG 10, NL-2333 AA LEIDEN, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Schipper, Inger B.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED,
2025,
56
(03):
机构:
Manchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
Mancheter Royal Infirm Fdn Trust, Dept Emergency Med, Manchester M13 9WL, Lancs, EnglandManchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
Batchelor, John Stephen
Grayson, Alan
论文数: 0引用数: 0
h-index: 0
机构:
Manchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, EnglandManchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Lustenberger, Thomas
Talving, Peep
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Talving, Peep
Lam, Lydia
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Lam, Lydia
Inaba, Kenji
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Inaba, Kenji
Bass, Margarita
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Bass, Margarita
Plurad, David
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Plurad, David
Demetriades, Demetrios
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Easter, Joshua S.
Haukoos, Jason S.
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USA
Colorado Sch Publ Hlth, Dept Epidemiol, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Haukoos, Jason S.
Claud, Jonathan
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Legacy Salmon Creek Hosp, Dept Emergency Med, Vancouver, WA USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Claud, Jonathan
Wilbur, Lee
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Indiana Univ Sch Med, Dept Emergency Med, Indianapolis, IN 46202 USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Wilbur, Lee
Hagstrom, Michelle Tartalgia
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
St Marys Hlth Ctr, Richmond Hts, MO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Hagstrom, Michelle Tartalgia
Cantrill, Stephen
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Cantrill, Stephen
Mestek, Michael
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Radiol, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Mestek, Michael
Symonds, David
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Radiol, Denver, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Symonds, David
Bakes, Katherine
论文数: 0引用数: 0
h-index: 0
机构:
Denver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
Univ Colorado, Sch Med, Aurora, CO USADenver Hlth Med Ctr, Dept Emergency Med, Denver, CO USA
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Scharringa, Samantha
Krijnen, Pieta
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Network Acute Care West, RIJNSBURGERWEG 10, NL-2333 AA LEIDEN, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Krijnen, Pieta
van de Linde, Pieter
论文数: 0引用数: 0
h-index: 0
机构:
Haga Hosp, Dept Surg, Els Borst Eilersplein 275, NL-2545 AA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
van de Linde, Pieter
Stigter, Willem
论文数: 0引用数: 0
h-index: 0
机构:
Haga Hosp, Dept Surg, Els Borst Eilersplein 275, NL-2545 AA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Stigter, Willem
Stollenwerck, Guido
论文数: 0引用数: 0
h-index: 0
机构:
Alrijne Hosp, Dept Surg, Simon Smitweg 1, NL-2353 GA Leiderdorp, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
机构:
Reinier Graaf Hosp, Dept Surg Traumatol, Reinier Graafweg 5, NL-2625 AD Delft, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Hartholt, Klaas
Hoogendoorn, Jochem Maarten
论文数: 0引用数: 0
h-index: 0
机构:
Haaglanden Med Ctr, Dept Surg, Lijnbaan 32, NL-2512 VA The Hague, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Hoogendoorn, Jochem Maarten
Schipper, Inger B.
论文数: 0引用数: 0
h-index: 0
机构:
Leiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Network Acute Care West, RIJNSBURGERWEG 10, NL-2333 AA LEIDEN, NetherlandsLeiden Univ Med Ctr, Dept Surg, Albinusdreef 2, NL-2333 ZA Leiden, Netherlands
Schipper, Inger B.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED,
2025,
56
(03):
机构:
Manchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
Mancheter Royal Infirm Fdn Trust, Dept Emergency Med, Manchester M13 9WL, Lancs, EnglandManchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
Batchelor, John Stephen
Grayson, Alan
论文数: 0引用数: 0
h-index: 0
机构:
Manchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, EnglandManchester Royal Infirm, Dept Emergency Med, Manchester M13 9WL, Lancs, England
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Lustenberger, Thomas
Talving, Peep
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Talving, Peep
Lam, Lydia
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Lam, Lydia
Inaba, Kenji
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Inaba, Kenji
Bass, Margarita
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Bass, Margarita
Plurad, David
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA
Plurad, David
Demetriades, Demetrios
论文数: 0引用数: 0
h-index: 0
机构:
Univ So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USAUniv So Calif, Keck Sch Med, Div Acute Care Surg Trauma Emergency Surg & Surg, Dept Surg,Med Ctr, Los Angeles, CA 90033 USA