@article{ref1,
title="Have outcomes improved in trauma patients age 90 years and older over the past decade: experience at a level II trauma center",
journal="American journal of surgery",
year="2018",
author="Samayoa, Andres X. and Vu, Thai and Olszewski, Tanya and Bova, Michael and Yan, Qi and Kirton, Orlando",
volume="215",
number="6",
pages="1000-1003",
abstract="INTRODUCTION: Managing trauma in the elderly is challenging and requires a multidisciplinary team approach. The aim of this study is to characterize and compare outcomes in patients 90 years and older in the last two decades. <br><br>METHODS: Retrospective review of trauma patients 90 years and older admitted from 1996 to 2015. The patients were divided into two groups: Early Decade (ED) and Late Decade (LD). <br><br>RESULTS: A total of 1697 patients were recorded, 551 (ED) and 1146 (LD). The mean age was 92.92 ± 8(90-108)[ED] and 92.9 ± 2.7(90-105)[LD] years. The most common mechanism and type of injury was falls and extremity trauma. Hospital length of stay (LOS) was shorter in the LD. There was no significant difference in in-hospital mortality or ICU LOS. <br><br>CONCLUSION: Trauma admission has increased in the last decade. However, in-hospital mortality remains low. It is important for multidisciplinary teams to allocate resources to treat this elderly population.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2018.02.025",
url="http://dx.doi.org/10.1016/j.amjsurg.2018.02.025"
}