Interhospital Transfer Occurs More Slowly for Elderly Acute Trauma Patients

Utter, Garth H.; Victorino, Gregory P.; Wisner, David H.

doi:10.1016/j.jemermed.2007.04.021

Cited by 18 publications

(8 citation statements)

References 22 publications

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“…Our data suggest that elderly trauma patients have a lower likelihood of being taken to a trauma center (suggesting prehospital bias) 35 or of being transferred to a trauma center once taken to a nontrauma center (in-hospital bias). 36 …”

Section: Commentmentioning

confidence: 99%

Factors Associated With Trauma Center Use for Elderly Patients With Trauma

Hsia¹

2011

Arch Surg

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Objectives To estimate the likelihood of trauma center admission for injured elderly patients with trauma, determine trends in trauma center admissions, and identify factors associated with trauma center use for elderly patients with trauma. Design Retrospective analysis. Setting Acute care hospitals in California. Patients All patients hospitalized for acute traumatic injuries during the period from January 1, 1999, to December 31, 2008 (n=430 081). Patients who had scheduled admissions for nonacute or minor trauma were excluded. Main Outcome Measure Likelihood of admission to level I or II trauma center was calculated according to age categories after adjusting for patient and system factors. Results Of 430 081 patients admitted to California acute care hospitals for trauma-related diagnoses, 27% were older than 65 years. After adjusting for demographic, clinical, and system factors, compared with trauma patients aged 18–25 years, the odds of admission to a trauma center decreased with increasing age; patients aged 26–45 years had lower odds (odds ratio [OR], 0.75; 95% confidence interval [CI], 0.71–0.80) of being admitted to a trauma center for their injuries than did patients 46–65 years of age (OR, 0.57; 95% CI, 0.54–0.60), patients 66–85 years of age (OR, 0.35; 95% CI, 0.30–0.41), and patients older than 85 years (OR, 0.30; 95% CI, 0.25–0.36). Similar patterns were found when stratifying the analysis by trauma type and severity. Living more than 50 miles away from a trauma center (OR, 0.03; 95% CI, 0.01–0.06) and lack of county trauma center (OR, 0.17; 95% CI, 0.09–0.35) were also predictors of not receiving trauma care. Conclusion Age and likelihood of admission to a trauma center for injured patients were observed to be inversely proportional after controlling for other factors. System-level factors play a major role in determining which injured patients receive trauma care.

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Section: Commentmentioning

confidence: 99%

Factors Associated With Trauma Center Use for Elderly Patients With Trauma

Hsia¹

2011

Arch Surg

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“…Although studies based on trauma center populations and specialized trauma registers can provide important information regarding trauma care, the external validity of the results may be questioned on grounds of regional differences and selection bias (1,2). Population-based studies may be more relevant from a public health perspective.…”

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confidence: 99%

The impact of clinically undiagnosed injuries on survival estimates

Gedeborg

Thiblin

Byberg

et al. 2009

Critical Care Medicine

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“…Since 2015 there has been an increase in aeromedical retrievals with more than 21 000 people requiring transport per annum 24 . An ageing population will impact aeromedical services, with an American study finding that the time taken for inter‐hospital transfers in older trauma patients is longer 25 . Future work should explore time variables by age and conditions to inform service planning.…”

Section: Discussionmentioning

confidence: 99%

Aeromedical retrievals in Queensland: A five‐year review

Franklin

King

Aitken

et al. 2020

Emerg Medicine Australasia

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A retrospective case series of aeromedical retrievals undertaken between 2010 and 2014 in the state of Queensland was undertaken. Key insights include the large proportion of retrievals for older adults, cardiology and injury‐related taskings. Aeromedical services play a vital role in enabling all sick and injured residents' have access to the level of care required irrespective of their location, or remoteness, of residence.

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Interhospital Transfer Occurs More Slowly for Elderly Acute Trauma Patients

Cited by 18 publications

References 22 publications

Factors Associated With Trauma Center Use for Elderly Patients With Trauma

Factors Associated With Trauma Center Use for Elderly Patients With Trauma

The impact of clinically undiagnosed injuries on survival estimates

Aeromedical retrievals in Queensland: A five‐year review

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