UMEM Educational Pearls

Category: Trauma

Title: Injury score comparable geriatric vs non-geriatric patients: Over 65 years do much worse

Keywords: geriatric, trauma, orthopedic injury, injury severity score (PubMed Search)

Posted: 11/5/2022 by Robert Flint, MD (Emailed: 5/27/2024) (Updated: 12/9/2022)
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Trauma patients over age 65 should be cared for by a multidisciplinary trauma team. Here is another study affirming that patients over age 65 do worse when having similar injuries to those under 65. Interestingly, those under 65 had more operative repairs of their orthopedic injuries as well.  

The authors conclude: “Although the ISS and NISS were similar, mortality was significantly higher among patients aged ≥ 65 years compared to patients < 65 years of age”.

 Also it bears further investigation of why those under 65 received more operative repairs

 

References

Differences in characteristics between patients ≥ 65 and < 65 years of age with orthopaedic injuries after severe trauma

Tora Julie Slørdal, Guttorm Brattebø, Thomas Geisner & Målfrid Holen Kristoffersen 

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 30, Article number: 51 (2022)