@article{ref1,
title="Prognostic association between injury severity score and the outcomes of elderly patients with trauma in South Korea",
journal="Journal of personalized medicine",
year="2024",
author="Kim, Jae-Guk and Choi, Hyun-Young and Kang, Gu-Hyun and Jang, Yong-Soo and Kim, Wonhee and Lee, Yoonje and Ahn, Chiwon",
volume="14",
number="7",
pages="-",
abstract="This study investigated the impact of the Injury Severity Score (ISS) on treatment approaches and survival outcomes in trauma patients, focusing on comparing elderly (≥65 years) with non-elderly patients. It analyzed adult trauma cases with abnormal Revised Trauma Scores from January to December 2019, categorizing patients into three severity groups based on ISS: mild (1-8), moderate (9-15), and severe (≥16). The study examined how ISS influenced therapeutic interventions and survival among elderly patients, comparing these outcomes to non-elderly patients using multivariable logistic regression analysis. In 16,336 adult trauma cases out of 52,262 patients, including 4886 elderly and 11,450 non-elderly patients, findings revealed that in the severe group, elderly patients had a lower, though not statistically significant, incidence of surgical or embolization interventions compared to the moderate group, differing from non-elderly patients. No significant differences were observed in the mild group between elderly and non-elderly patients. However, elderly patients had higher intervention rates in the moderate group and lower in the severe group, with significantly lower survival-to-discharge rates in the severe group. The ISS is insufficient for assessing trauma severity in elderly patients. Additional tools are needed for better evaluation and treatment decisions.<p /> <p>Language: en</p>",
language="en",
issn="2075-4426",
doi="10.3390/jpm14070674",
url="http://dx.doi.org/10.3390/jpm14070674"
}