@article{ref1,
title="Ten year incidence of high energy geriatric trauma at a Level 1 trauma center",
journal="Journal of Orthopaedic Trauma",
year="2018",
author="Lowe, Jason A. and Pearson, Jeffrey and Leslie, Michael and Griffin, Russell",
volume="32",
number="3",
pages="129-133",
abstract="OBJECTIVES: To examine the characteristics of high-energy geriatric trauma over time. <br><br>DESIGN: Retrospective chart review SETTING:: Level 1 trauma Center PATIENTS:: Demographic, injury, and clinical characteristics were compared between 34,017 geriatric and non-geriatric high energy trauma patients from 2005-2014 using t-test, chi-square analysis and negative binomial regression for annual trend in injuries. <br><br>RESULTS: High-energy geriatric trauma comprised 11.2% of all trauma activations. High-energy geriatric patients nearly doubled from the study period of 2005-2014 to previous 10 years (p=0.0004). Compared to non-geriatric patients, geriatric high-energy traumas were twice as likely to be due to fall from height (p<0.0001), had higher ISS scores (p<0.0001), fewer abdominal injuries (p=0.0011) and have head trauma (p<0.0001). Fracture patterns were similar between groups. Mortality was higher for all geriatric patients (OR 4.76, 95% CI 4.00-5.67), and high-energy mechanisms (OR 4.71, 95% CI 3.90-5.68) compared to low-energy mechanisms (OR 3.00, 95% CI 2.48-3.62). <br><br>CONCLUSION: The number of geriatric high-energy traumas has doubled over 10 years. Geriatric patients are sicker on presentation, based upon ISS score, and high-energy geriatrics have a four-fold increase in mortality. LEVEL OF EVIDENCE: Level III.<p /> <p>Language: en</p>",
language="en",
issn="0890-5339",
doi="10.1097/BOT.0000000000001052",
url="http://dx.doi.org/10.1097/BOT.0000000000001052"
}