Complications in low-risk older adult trauma patients: A case-control study

Abstract

Background: Although some geriatric trauma patients may be low-risk for complications, poor outcomes are pronounced if complications do occur. Prevention in this group decreases the risk of excess morbidity and mortality. Methods: We performed a case-control study of trauma patients 65 years or older treated from January 2015 to August 2016 at a level I trauma center with a Trauma Quality Improvement Program (TQIP) predicted probability of complication < 20%. Cases had one of the following complications: unplanned admission to the intensive care unit (ICU), unplanned intubation, pneumonia, or unplanned return to the operating room. Two age-matched controls were randomly selected for each case. We collected information on comorbidities, home medications, and early medical care and calculated odds ratios using multivariable conditional logistic regression. Results: Ninety-four patients experienced unplanned admission to ICU (N=51), unplanned intubation (N=14), pneumonia (N=21), and unplanned return to OR (N=8). The 188 controls were

Is There Any Difference in the Outcome of Geriatric and Non-Geriatric Severely Injured Patients?—A Seven-Year, Retrospective, Observational Cohort Study with Matched-Pair Analysis

“…Third, another complication mainly amongst the older polytrauma patients was pneumonia. Due to physiological changes, comorbidities, and longer periods of immobilization in the elderly, they are generally more prone to pneumonia than their younger counterparts [40,[46][47][48].…”

Is there any difference in the outcome of geriatric and non-geriatric severely injured patients? – A seven-year, retrospective, observational cohort study with matched-pair analysis

“…Third, another complication mainly amongst the older polytrauma patients was pneumonia. Due to physiological changes, comorbidities and longer periods of immobilization in the elderly, they are generally more prone to pneumonia than their younger counterparts (38,(44)(45)(46).…”

Are we waiting for the sky to fall? Predictors of withdrawal of life-sustaining support in older trauma patients: A retrospective analysis

“…Previous studies have demonstrated higher rates of undertriage in geriatric trauma patients, suggesting deterioration after a floor admission as a possible reason for this increase 31–33 . Other studies demonstrated that approximately 16% of low-risk geriatric patients required an unplanned ICU admission during their hospitalization, with increased risk in patients with preexisting comorbidity 34 . However, the exact reason for these unplanned ICU admissions is not well identified using this dataset and would warrant study in a population with ADLC.…”