Journal
ARCHIVES OF GERONTOLOGY AND GERIATRICS
Volume 47, Issue 3, Pages 377-382Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.archger.2007.08.018
Keywords
Trauma in elderly; Traumatic injuries; Mortality
Categories
Funding
- Individual University [01-07-8-11/03]
- Faculty of Medicine Research [NP/03/11, 2003, NP/04/28, 2004]
- [02-07-8-1/4]
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The mechanisms and outcome of trauma in hospitalized elderly patients were studied. The data of A1-Ain Hospital Trauma Registry were prospectively collected over a period of 3 years (2003-2006). All elderly trauma-patients above 60 years who were admitted to surgical ward or who (tied on arrival were studied. Demography of patients, mechanism of injury, Injury Severity Score (ISS), hospital stay and mortality were analyzed. There were 121 patients (70 males an(] 51 females). Mean (range) age was 69 years (60-100). 42% were United Arab Emirates (UAE) nationals. The two most common mechanisms of injury were falls (55%) followed by road traffic collisions (RTC) (32%). The median (range) ISS of the group was 5 (1-34). The ISS median (interquartile range) of failing down, RTC, and fall from height were 4 (4-9), 6 (4-10), and 8 (5-9), respectively (p=0.31). Forty-one percentage of injuries occurred at home. The mean (range) hospital stay was 12.4 (1-150) days. Six patients (5%) were admitted to the intensive care unit. Overall mortality was 6% (7 patients), of whom 5 were pedestrians hit by cars. We concluded that low-energy trauma from falls was the most common cause of injury in the elderly. Mortality was high mainly from pedestrian injuries. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
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