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Characteristics and demography of low energy fall injuries in patients > 60 years of age: a population-based analysis over a decade with focus on undertriage.
Aarsland, Martine A; Weber, Clemens; Enoksen, Cathrine H; Dalen, Ingvild; Tjosevik, Kjell Egil; Oord, Pieter; Thorsen, Kenneth.
Afiliación
  • Aarsland MA; Section for Traumatology; Surgical Clinic, Stavanger University Hospital, Stavanger, Norway. martine_aarsland@hotmail.com.
  • Weber C; Department of Orthopaedic Surgery, Stavanger University Hospital, PO Box 8100, N-4068, Stavanger, Norway. martine_aarsland@hotmail.com.
  • Enoksen CH; Department of Neurosurgery, Stavanger University Hospital, Stavanger, Norway.
  • Dalen I; Department of Quality and Health Technology, University of Stavanger, Stavanger, Norway.
  • Tjosevik KE; Section for Traumatology; Surgical Clinic, Stavanger University Hospital, Stavanger, Norway.
  • Oord P; Department of Orthopaedic Surgery, Stavanger University Hospital, PO Box 8100, N-4068, Stavanger, Norway.
  • Thorsen K; Department of Research, Stavanger University Hospital, Stavanger, Norway.
Eur J Trauma Emerg Surg ; 50(3): 995-1001, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38324199
ABSTRACT

BACKGROUND:

An increasing group of elderly patients is admitted after low energy falls. Several studies have shown that this patient group tends to be severely injured and is often undertriaged.

METHODS:

Patients > 60 years with low energy fall (< 1 m) as mechanism of injury were identified from the Stavanger University Hospital trauma registry. The study period was between 01.01.11 and 31.12.20. Patient and injury variables as well as clinical outcome were described. Undertriage was defined as patients with a major trauma, i.e., Injury Severity Score (ISS) > 15, without trauma team activation. Statistical analysis was performed using the Chi-squared test for categorical variables and the Mann-Whitney U test for continuous variables.

RESULTS:

Over the 10-year study period, 388 patients > 60 years with low energy fall as mechanism of injury were identified. Median age was 78 years (IQR 68-86), and 53% were males. The location of major injury was head injury in 41% of the patients, lower extremities in 19%, and thoracic injuries in 10%. Thirty-day mortality was 13%. Fifty percent were discharged to home, 31% to nursing home, 9% in hospital mortality, and the remaining 10% were transferred to other hospitals or rehabilitation facilities. Ninety patients had major trauma, and the undertriage was 48% (95% confidence interval, 38 to 58%).

CONCLUSIONS:

Patients aged > 60 years with low energy falls are dominated by head injuries, and the 30-day mortality is 13%. Patients with major trauma are undertriaged in half the cases mandating increased awareness of this patient group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Puntaje de Gravedad del Traumatismo / Sistema de Registros / Triaje Tipo de estudio: Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Trauma Emerg Surg Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Accidentes por Caídas / Puntaje de Gravedad del Traumatismo / Sistema de Registros / Triaje Tipo de estudio: Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Trauma Emerg Surg Año: 2024 Tipo del documento: Article País de afiliación: Noruega Pais de publicación: Alemania