Three-Point Restraints as a Risk Factor for Chest Injury in the Elderly

Martínez, Ricardo; Sharieff, Ghazala Q.; Hooper, Jeffrey

doi:10.1097/00005373-199412000-00019

Cited by 20 publications

(9 citation statements)

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“…Increased morbidity and mortality in elderly patients with traumatic rib fractures are attributed to several factors such as anatomical difference between young and elderly people (osteoporosis, decreased muscle mass and thinned vertebral bodies), as well as decreased physiological reserve (low cardiopulmonary status and lower immunity),[89]. and more likelihood of presence of associated comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Isolated rib fractures in geriatric patients

Elmistekawy

Hammad

2007

Ann Thorac Med

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INTRODUCTION:The goal of this study was to investigate the short-term outcomes in patients older than 60 years with isolated rib fractures and admitted to emergency hospital.MATERIALS AND METHODS:This study included patients who were 60 years old or more and sustained blunt chest injury and had isolated rib fractures. The following data were obtained from the medical records: age, gender, number of fracture ribs, side of fracture ribs, mechanism and nature of injury, preexisting medical conditions, complications, admission to intensive care unit (ICU), need for mechanical ventilation, length of ICU and hospital stay and mortality.RESULTS:For the study, 39 patients who were 60 years old or more and admitted to the hospital because of isolated rib fractures were enrolled. There were 28 males (71.7%) and 11 females (28.3%) with mean age of (66.84 ± 4.7) years. No correlation was found between comorbidities and hospital outcomes except in those who were diabetic (P-value = 0.005) and those with chronic lung disease (P-value = 0.006). Pulmonary complications were the most frequent complications encountered in those patients. Pulmonary complications were: lung contusion in 8 patients (20.5%) and pulmonary infection in 6 patients (15.8%).CONCLUSION:Elderly patients sustaining blunt chest trauma had significant morbidity and potential for mortality.

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Section: Discussionmentioning

confidence: 99%

Isolated rib fractures in geriatric patients

Elmistekawy

Hammad

2007

Ann Thorac Med

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“…This becomes more significant in the elderly due to osteoporosis, exaggerated thoracic kyphosis, decreased muscle mass, thinning of the intervertebral discs, shortening of the vertebral bodies, and decreased chest wall compliance. 23 Chest injuries in the elderly were associated with increased morbidity and mortality, in particular rib fractures. This was found to be significant even after taking into account comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Road traffic injuries in the elderly

Yee

Cameron

Bailey

2006

Emergency Medicine Journal

116

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“…6 Numerous studies have investigated the driving capabilities of older individuals and whether char-acteristics of patient health can predict who will be more likely to be involved in an MVC. 33 We conducted a review to specifically focus on elder patients (65 years of age or older) involved in MVCs with respect to seatbelt use and injury patterns, mortality, hospitalization, hospital charges, and need for extended nursing care. Furthermore, it has been clearly shown that the elder population consumes a disproportionate amount of health care dollars for medical care secondary to trauma.…”

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confidence: 99%