Event Title
Elderly Trauma in Philadelphia: An Urban Trauma Center's Experience
Location
Philadelphia Campus
Start Date
7-5-2014 1:00 PM
Description
Purpose:
Trauma remains one of the major causes of death in the United States and traditionally is considered an affliction of youth. With the much anticipated “Silver Tsunami” of baby-boomers now hitting America, the fastest growing trauma population is now that of older adults; defined as those over 65 years of age. We aimed to better describe the outcomes of these patients.
Methods:
We conducted a retrospective chart review of patients identified by the Hospital of the University of Pennsylvania’s institutional trauma registry. Patients treated between July 1st, 2001 and June 30th, 2011 were included and divided into the following cohorts: 65-74 years, 75-84 years and 85 years and older. Demographics included age, mechanism of injury and ISS. Differences in mortality and hospital and ICU length of stay were considered.
Results:
The mean age of each cohort was 69.3 ± 2.9 years, 79.4 ± 2.8 years and 89 ± 3.5 years, respectively. Injury severity scores by cohort were 11.0 ± 10.6, 12.1 ± 11.3 and 9.9 ± 9.7 respectively. Hospital length of stay for the 65-74 cohort was 5.0 ± 8.6 days with 0.8 ± 3.6 days in the ICU for an ISS± 13.0 hospital days with 4.3 ± 3.3 days in the ICU for an ISS >16 (p =16. For an ISS of65-74, 75-84 and 85 and older groups was 3.3, 4.1 and 5.6 percent respectively (p=16 this changed to 16.9, 21.5 and 24.3 percent respectively (p = <0.05).
Conclusions
Older patients with less severe injury patterns did not demonstrate a difference in hospital length of stay. Patients over the age of 85 with severe injuries had a shorter length of stay than younger cohorts. ICU stay was over three days among the most severely injured members of all cohorts but was shorter in the most severely injured members of the oldest cohort. In hospital mortality was significantly increased in the oldest cohort with severe injury.
Elderly Trauma in Philadelphia: An Urban Trauma Center's Experience
Philadelphia Campus
Purpose:
Trauma remains one of the major causes of death in the United States and traditionally is considered an affliction of youth. With the much anticipated “Silver Tsunami” of baby-boomers now hitting America, the fastest growing trauma population is now that of older adults; defined as those over 65 years of age. We aimed to better describe the outcomes of these patients.
Methods:
We conducted a retrospective chart review of patients identified by the Hospital of the University of Pennsylvania’s institutional trauma registry. Patients treated between July 1st, 2001 and June 30th, 2011 were included and divided into the following cohorts: 65-74 years, 75-84 years and 85 years and older. Demographics included age, mechanism of injury and ISS. Differences in mortality and hospital and ICU length of stay were considered.
Results:
The mean age of each cohort was 69.3 ± 2.9 years, 79.4 ± 2.8 years and 89 ± 3.5 years, respectively. Injury severity scores by cohort were 11.0 ± 10.6, 12.1 ± 11.3 and 9.9 ± 9.7 respectively. Hospital length of stay for the 65-74 cohort was 5.0 ± 8.6 days with 0.8 ± 3.6 days in the ICU for an ISS± 13.0 hospital days with 4.3 ± 3.3 days in the ICU for an ISS >16 (p =16. For an ISS of65-74, 75-84 and 85 and older groups was 3.3, 4.1 and 5.6 percent respectively (p=16 this changed to 16.9, 21.5 and 24.3 percent respectively (p = <0.05).
Conclusions
Older patients with less severe injury patterns did not demonstrate a difference in hospital length of stay. Patients over the age of 85 with severe injuries had a shorter length of stay than younger cohorts. ICU stay was over three days among the most severely injured members of all cohorts but was shorter in the most severely injured members of the oldest cohort. In hospital mortality was significantly increased in the oldest cohort with severe injury.