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J Korean Soc Emerg Med > Volume 13(1); 2002 > Article
Journal of The Korean Society of Emergency Medicine 2002;13(1): 49-54.
Clinical Review In Geriatric Trauma Patients
Hee Cheol Ahn, Jeong Youl Seo, Jae Bong Chung, Young Mi Choi, Jung Tae Choi, Ki Cheol You, Moo Eob Ahn, Goang Min Choi, Hong Ki Kim, Sung Whan Kim, Jun Whi Cho
1Department of Emergency Medicine, College of Medicine, Hallym University, Korea. gsemdr68@chollian.net
2Department of Thoracic Surgery, College of Medicine, Hallym University, Korea.
3Department of General Surgery, College of Medicine, Hallym University, Korea.
4Department of Emergency Medicine, College of Medicine, Kangwon National University, Chuncheon, Korea.
ABSTRACT
PURPOSE:
This study was conducted to examine various clinical factors for their ablity to predict mortality in geriatric patients following trauma.
METHODS:
In this retrospective study, medical records from Chun Cheon Sacred Heart hospital were reviewed for patients 65 years and older who sustained trauma. The following variables were extracted and examined, independently and in combination, for their ablity to predict death: age, gender, mechanism of injury, blood pressure, and respiration, pulse rate, as well as Glasgow Coma Score, Revised Trauma Score, and Injury Severity Score. These patients had entered the hospital following trauma during a 2-year period (1999-2000).
RESULTS:
the Injury Severity Score (more than 28), the Glasgow Coma Score (less than 9), and the Revised Trauma Score (less than 8) were variables that correlated with mortality. Mortality rates were higher for men than for women. Admission variables associated with the highest risks of death included hypotension (mean blood pressure < 78 mmHg); pedestrian and motorcycle traffic accident; skull fracture, subdural hemorrhage, and diffuse axonal injury; and hemothorax and lung contusion.
CONCLUSION:
Admission variables in geriatric trauma patients can be used to predict the outcome and may also be useful in making decisions about triage, and treatment of the patient.
Key words: Geriatric trauma, Mortality
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