Outcomes of trauma in centenarians

被引:15
作者
Kent, M. J. R. [1 ]
Elliot, R. R. [1 ]
Taylor, H. P. [1 ]
机构
[1] Poole Hosp, Dept Trauma & Orthopaed, Poole, Dorset, England
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2009年 / 40卷 / 04期
关键词
Trauma; Elderly; Outcomes; Centenarians; ELDERLY-PATIENTS; HIP FRACTURE; TRIAL; FEMUR; NECK;
D O I
10.1016/j.injury.2008.10.017
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Introduction: We present the first study specifically investigating outcomes of centenarian (age > 100 years) trauma patients. Materials and methods: We conducted a retrospective cohort study over a 2-year period using data from patients' notes. Inclusion criteria were: admission to Poole Hospital, age of 100 years old or greater and history of sustaining trauma. Results: We used the hospital CaMIS database to identify patients aged 100 years and over who had incurred an injury. 24 patients met the entry criteria for the study: accounting for 26 admission episodes. 23 patients were female and 13 had sustained a fractured neck of femur. 10 patients underwent surgery and the rest were managed non-operatively. There were five inpatient deaths and the majority of the discharged patients returned to their original place of residence following treatment and rehabilitation. Overall mortality at 1 year was 10 out of 24. Discussion: Our increasingly elderly population is leading to a growing burden upon the NHS. Admission of the extreme elderly trauma patient is becoming more commonplace and presents us with difficult management decisions. Orthopaedic/geriatric collaborative care is now the norm and should continue to develop and improve in the future. Conclusion: The extreme elderly should be afforded the same consideration for operative treatment as younger patients and that age alone should not be relied upon as a determinant of treatment and management in these patients. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:358 / 361
页数:4
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