@article{ref1,
title="The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation",
journal="American journal of surgery",
year="2003",
author="Gallagher, Scott F. and Williams, Brian and Gomez, Cathie and DesJardins, Christine and Swan, Suzanne and Durham, Rodney M. and Flint, Lewis M.",
volume="185",
number="2",
pages="131-134",
abstract="BACKGROUND: Elderly patients are an increasingly larger group of injured trauma care patients. Comorbidities influence outcome. Little is known of short- and long-term mortality in the elderly who survive initial resuscitation. METHODS: Short- and long-term mortality was retrospectively analyzed in 363 consecutively injured patients (Injury severity score >15) surviving more than 3 days after admission to a level 1 trauma center (including 197 patients >60 years). Cardiac morbidity was the focus. RESULTS: Survival to hospital discharge was similar comparing older patients with the entire group. Mortality increased incrementally with age. In older patients, cardiac morbidity was observed in 28% (fatal in 7); 2-year mortality was 36% (older group) and 60% (patients sustaining cardiac complications). Most elderly (80%) were discharged to long-term care. CONCLUSIONS: Elderly who survive initial resuscitation are as likely to survive to discharge as younger patients, but long-term survival is significantly lower as age increases. Cardiac morbidity is associated with higher long-term mortality. Most elderly are discharged to long-term care.<p /><p>Language: en</p>",
language="en",
issn="0002-9610",
doi="",
url="http://dx.doi.org/"
}