Vol 9: Looking beyond discharge: clinical variables at trauma admission predict long term survival in the older severely injured patient.Report as inadecuate



 Vol 9: Looking beyond discharge: clinical variables at trauma admission predict long term survival in the older severely injured patient.


Vol 9: Looking beyond discharge: clinical variables at trauma admission predict long term survival in the older severely injured patient. - Download this document for free, or read online. Document in PDF available to download.

Download or read this book online for free in PDF: Vol 9: Looking beyond discharge: clinical variables at trauma admission predict long term survival in the older severely injured patient.
This article is from World Journal of Emergency Surgery : WJES, volume 9.AbstractBackground: Long term follow up is difficult to obtain in most trauma settings, these data are essential for assessing outcomes in the older ≥60 patient. We hypothesized that clinical data obtained during initial hospital stay could accurately predict long term survival. Study design: Using our trauma registry and hospital database, we reviewed all trauma admissions age ≥60, ISS  15 to our Level 1 center over the most recent 7 years. Mechanism of injury, co-morbidities, ICU admission, and ultimate disposition were assessed for 2-7 years post-discharge. Primary outcome was defined as long term survival to the end of the last year of the study. Results: Of 342 patients discharged following initial admission, mean age was 76.2 ± 9.7, and ISS was 21.5 ± 6.9. 119 patients 34.8% died mean follow up 18.8 months; range 1.1-66.2 months. For 233 survivors, mean follow-up was 50.2 months range 24.8-83.8 months. Univariate analysis disclosed post-discharge mortality was associated with age 80.1 ± 9.64 vs. 74.2 ± 9.07, mean number of co-morbidities 1.6 ± 1.1 vs. 1.0 ± 1.2, fall as a mechanism, lower GCS upon arrival 11.85 ± 4.21 vs. 13.73 ± 2.89, intubation at the scene and discharge to an assisted living facility p 



Author: Bala, Miklosh; Kashuk, Jeffry L; Willner, Dafna; Kaluzhni, Dima; Bdolah-Abram, Tali; Almogy, Gidon

Source: https://archive.org/







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