TY  - JOUR
PY  - 2003//
TI  - The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation
JO  - American journal of surgery
A1  - Gallagher, Scott F.
A1  - Williams, Brian
A1  - Gomez, Cathie
A1  - DesJardins, Christine
A1  - Swan, Suzanne
A1  - Durham, Rodney M.
A1  - Flint, Lewis M.
SP  - 131
EP  - 134
VL  - 185
IS  - 2
N2  - 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>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/
ID  - ref1
ER  -