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Tytuł pozycji:

The elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study.

Tytuł:
The elderly age criterion for increased in-hospital mortality in trauma patients: a retrospective cohort study.
Autorzy:
Lee JH; Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Kim MJ; Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Hong JY; Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Myung J; Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Roh YH; Biostatistics Collaboration Unit, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Chung SP; Department of Emergency Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. .
Źródło:
Scandinavian journal of trauma, resuscitation and emergency medicine [Scand J Trauma Resusc Emerg Med] 2021 Sep 10; Vol. 29 (1), pp. 133. Date of Electronic Publication: 2021 Sep 10.
Typ publikacji:
Journal Article; Multicenter Study
Język:
English
Imprint Name(s):
Original Publication: London : BioMed Central
MeSH Terms:
Emergency Service, Hospital*
Hospital Mortality*
Wounds and Injuries*
Adult ; Aged ; Humans ; Middle Aged ; Odds Ratio ; Registries ; Retrospective Studies ; Trauma Centers
References:
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MMWR Recomm Rep. 2009 Jan 23;58(RR-1):1-35. (PMID: 19165138)
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Am J Emerg Med. 2010 Feb;28(2):151-8. (PMID: 20159383)
Rheumatology (Oxford). 2011 Jan;50(1):60-8. (PMID: 21148153)
Surgery. 2012 Oct;152(4):668-74; discussion 674-5. (PMID: 23021136)
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J Trauma Acute Care Surg. 2019 Nov;87(5):1172-1180. (PMID: 31389924)
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Grant Information:
korea centers for disease control and prevention Republic of Korea Korea Centers for Disease Control and Prevention
Contributed Indexing:
Keywords: Elderly; Emergency Department-based Injury In-depth Surveillance; Geriatric; Injury; Mortality; Trauma
Entry Date(s):
Date Created: 20210911 Date Completed: 20210914 Latest Revision: 20220531
Update Code:
20240105
PubMed Central ID:
PMC8434699
DOI:
10.1186/s13049-021-00950-x
PMID:
34507600
Czasopismo naukowe
Background: With an aging population, the number of elderly individuals exposed to traumatic injuries is increasing. The elderly age criterion for traumatic injuries has been inconsistent in the literature. This study aimed at specifying the elderly age criterion when the traumatic mortality rate increases.
Methods: This is a multicenter retrospective cohort study that was conducted utilizing the data from the Emergency Department-based Injury In-depth Surveillance Registry of the Korea Disease Control and Prevention Agency, collected between January 2014 and December 2018 from 23 emergency departments. The outcome variable was in-hospital mortality. Multivariable logistic regression analysis was used to calculate the adjusted mortality rate for each age group. By using the shape-restricted regression splines method, the relationship between age and adjusted traumatic mortality was plotted and the point where the gradient of the graph had the greatest variation was calculated.
Results: A total of 637,491 adult trauma patients were included. The number of in-hospital deaths was 6504 (1.0%). The age at which mortality increased the most was 65.06 years old. The adjusted odds ratio for the in-hospital mortality rate with age in the ≤ 64-year-old subgroup was 1.038 (95% confidence interval (CI) 1.032-1.044) and in the ≥ 65-year-old subgroup was 1.059 (95% CI 1.050-1.068). The adjusted odds ratio for in-hospital mortality in the ≥ 65-year-old compared to the ≤ 64-year-old subgroup was 4.585 (95% CI 4.158-5.055, p < 0.001).
Conclusions: This study found that the in-hospital mortality rate rose with increasing age and that the increase was the most rapid from the age of 65 years. We propose to define the elderly age criterion for traumatic injuries as ≥ 65 years of age.
(© 2021. The Author(s).)

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