Rehabilitation of the Geriatric Surgical Patient

Biffl, Walter L.; Biffl, Susan E.

doi:10.1016/j.suc.2014.09.004

Cited by 11 publications

(1 citation statement)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The complexity of the questionnaire used was already on the upper reasonable limit. Similarly, specific subtopics regarding the interpretation of QoL depending on the perspectives of differing age groups or the particularly inclusion of frailty 5 , 6 , 41 in the context of major trauma await further clarification in subsequent studies. In the literature, the definition of the elderly varies widely, partly starting at an age of 55 17 or at least 65 years.…”

Section: Discussionmentioning

confidence: 99%

Longer-term quality of life following major trauma: age only significantly affects outcome after the age of 80 years

Groß¹,

Morell²,

Amsler

2018

CIA

View full text Add to dashboard Cite

AimAgainst the background of conflicting data on the topic, this study aimed to determine the differences in longer-term patient outcomes following major trauma with regard to age.Materials and methodsA prospective trauma center survey of survivors of trauma (≥16 years) was carried out employing a New Injury Severity Score (NISS) ≥8 to investigate the influence of age on working capacity and several outcome scores, such as the trauma medical outcomes study Short Form-36 (physical component [PCS] and mental component [MCS]), the Euro Quality of Life (EuroQoL), or the Trauma Outcome Profile (TOP) at least 1 year following injury. Chi square tests, t-tests, and Pearson correlations were used as univariate; stepwise regression as multivariate analysis. Significance was set at p<0.05.ResultsIn all, 718 major trauma patients (53.4±19.4 years; NISS 18.4±9.2) participated in the study. Multivariate analysis showed only low associations of patient or trauma characteristics with longer-term outcome scores, highest for the Injury Severity Score of the extremities with the PCS (R2=0.08) or the working capacity of employed patients (n=383; R2=0.04). For age, overall associations were even lower (best with the PCS, R2=0.04) or could not be revealed at all (TOP or MCS). Subgroup analysis with regard to decennia revealed the age effect to be mainly attributable to patients aged ≥80, who presented with a significantly worse outcome compared to younger people in all overall and physical component scores (p<0.001). In patients under 80 years an association of age was only found for EuroQoL (R2=0.01) and the PCS (R2=0.03).ConclusionGiven the small impact of age on the longer-term outcomes of major trauma patients, at least up to the age of 80 years, resuscitation as well as rehabilitation strategies should be adapted accordingly.

show abstract