TY  - JOUR
PY  - 2018//
TI  - Ten year incidence of high energy geriatric trauma at a Level 1 trauma center
JO  - Journal of Orthopaedic Trauma
A1  - Lowe, Jason A.
A1  - Pearson, Jeffrey
A1  - Leslie, Michael
A1  - Griffin, Russell
SP  - 129
EP  - 133
VL  - 32
IS  - 3
N2  - 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>
LA  - en
SN  - 0890-5339
UR  - http://dx.doi.org/10.1097/BOT.0000000000001052
ID  - ref1
ER  -