Octogenarians and motor vehicle collisions

Soba, Kathryn S.; Dong, Frank; Ward, Jeanette G.; Crawford, Greg; Helmer, Stephen D.; Lemon, Michael; Nold, R. Joseph; Haan, James M.

doi:10.1097/ta.0b013e3182aa9cc6

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Whilst the fatality rate is falling in younger patients (5.5%), it has not fallen (17.3%) and may even be increasing in older patients [ 133 ]. Despite this, a significant proportion of older patients who survive their initial trauma return home (67%) [ 134 ], and good long-term outcomes can be achieved, even in the oldest age groups [ 135 ]. Although a low GCS is associated with poor outcomes and is an independent risk for increased mortality [ 130 ] it is difficult to assess the outcome of TBI accurately in older people, as there are many confounders [ 136 ].…”

Section: Resultsmentioning

confidence: 99%

Challenges in the PREHOSPITAL emergency management of geriatric trauma patients – a scoping review

Eichinger

Robb

Scurr

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background Despite a widely acknowledged increase in older people presenting with traumatic injury in western populations there remains a lack of research into the optimal prehospital management of this vulnerable patient group. Research into this cohort faces many uniqu1e challenges, such as inconsistent definitions, variable physiology, non-linear presentation and multi-morbidity. This scoping review sought to summarise the main challenges in providing prehospital care to older trauma patients to improve the care for this vulnerable group. Methods and findings A scoping review was performed searching Google Scholar, PubMed and Medline from 2000 until 2020 for literature in English addressing the management of older trauma patients in both the prehospital arena and Emergency Department. A thematic analysis and narrative synthesis was conducted on the included 131 studies. Age-threshold was confirmed by a descriptive analysis from all included studies. The majority of the studies assessed triage and found that recognition and undertriage presented a significant challenge, with adverse effects on mortality. We identified six key challenges in the prehospital field that were summarised in this review. Conclusions Trauma in older people is common and challenges prehospital care providers in numerous ways that are difficult to address. Undertriage and the potential for age bias remain prevalent. In this Scoping Review, we identified and discussed six major challenges that are unique to the prehospital environment. More high-quality evidence is needed to investigate this issue further.

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Section: Resultsmentioning

confidence: 99%

Challenges in the PREHOSPITAL emergency management of geriatric trauma patients – a scoping review

Eichinger

Robb

Scurr

et al. 2021

Scand J Trauma Resusc Emerg Med

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Trauma

2014

Bone & Joint 360

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The February 2014 Trauma Roundup360 looks at: predicting nonunion; compartment Syndrome; octogenarian RTCs; does HIV status affect decision making in open tibial fractures?; flap timing and related complications; proximal humeral fractures under the spotlight; restoration of hip architecture with bipolar hemiarthroplasty in the elderly; and short versus long cephalomedullary nails for the treatment of intertrochanteric hip fractures in patients over 65 years.

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2014

Bone & Joint 360

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The February 2014 Research Roundup360 looks at: blood supply to the femoral head after dislocation; diabetes and hip replacement; bone remodelling over two decades following hip replacement; sham surgery as good as arthroscopic meniscectomy; distraction in knee osteoarthritis; whether joint replacement prevent cardiac events; tranexamic acid and knee replacement haemostasis; cartilage colonisation in bipolar ankle grafts; CTs and proof of fusion; atorvastatin for muscle re-innervation after sciatic nerve transection; microfracture and short-term pain in cuff repair; promising early results from L-PRF augmented cuff repairs; and fatty degeneration in a rodent model.

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Octogenarians and motor vehicle collisions

Abstract: Prognostic study, level III.

Cited by 3 publications

References 15 publications

Challenges in the PREHOSPITAL emergency management of geriatric trauma patients – a scoping review

Challenges in the PREHOSPITAL emergency management of geriatric trauma patients – a scoping review

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