Citation

Raines A, Garwe T, Adeseye A, Benham E, Worrell V, Havron W. J. Okla. State Med. Assoc. 2014; 107(11): 594-597.

Copyright

(Copyright © 2014, Oklahoma State Medical Association)

DOI

unavailable

PMID

25796766

Abstract

BACKGROUND: Comparing elderly (> 55 years) and younger (< 55 and > 15 years) traumatic liver injury patients, we evaluated differences in the need for operative intervention as well as transfusion requirements in those treated non-operatively.

METHODS: This was a retrospective cohort study of adult patients with liver trauma. The analyses evaluated overall adjusted differences in treatment option and packed red blood utilization in those treated non-operatively by age group.

RESULTS: 841 patients were included. 83 were elderly. Operative management occurred in 13% and 12% of the younger adults and elderly patients, respectively. After adjustment, age group was not significantly associated with treatment option. In the non-operative setting, elderly patients had twice the red blood cell transfusion requirement as compared to younger adults.

CONCLUSIONS: Age does not play a role in considering the need for surgical intervention in patients with liver trauma. However, the geriatric population has twice the transfusion requirement in the non-operative setting.

Language: en