TY  - JOUR
PY  - 2023//
TI  - Epidemiology, injury pattern and outcome of older trauma patients: a 15-year study of level-I trauma centers
JO  - PLoS one
A1  - Benhamed, Axel
A1  - Batomen, Brice
A1  - Boucher, Valérie
A1  - Yadav, Krishan
A1  - Mercier, Éric
A1  - Isaac, Chartelin Jean
A1  - Bérubé, Mélanie
A1  - Bernard, Francis
A1  - Chauny, Jean-Marc
A1  - Moore, Lynne
A1  - Sirois, Marie Josée
A1  - Tazarourte, Karim
A1  - Gossiome, Amaury
A1  - Emond, Marcel
SP  - e0280345
EP  - e0280345
VL  - 18
IS  - 1
N2  - BACKGROUND: Older adults have become a significant portion of the trauma population. Exploring their specificities is crucial to better meet their specific needs. The primary objective was to evaluate the temporal changes in the incidence, demographic and trauma characteristics, injury pattern, in-hospital admission, complications, and outcome of older trauma patients. <br><br>METHODS: A multicenter retrospective cohort study was conducted using the Quebec Trauma Registry. Patients aged ≥16 years admitted to one of the three adult level-I trauma centers between 2003 and 2017 were included. Descriptive analyses and trend-tests were performed to describe temporal changes. <br><br>RESULTS: A total of 53,324 patients were included, and 24,822 were aged ≥65 years. The median [IQR] age increased from 57[36-77] to 67[46-82] years, and the proportion of older adults rose from 41.8% in 2003 to 54.1% in 2017. Among those, falls remain the main mechanism (84.7%-88.3%), and the proportion of severe thorax (+8.9%), head (+8.7%), and spine (+5%) injuries significantly increased over time. The proportion of severely injured older patients almost doubled (17.6%-32.3%), yet their mortality decreased (-1.0%). Their average annual bed-days consumption also increased (+15,004 and +1,437 in non-intensive care wards and ICU, respectively). <br><br>CONCLUSIONS: Since 2014, older adults have represented the majority of admissions in Level-I trauma centers in Québec. Their bed-days consumption has greatly increased, and their injury pattern and severity have deeply evolved, while we showed a decrease in mortality.<p />  <p>Language: en</p>
LA  - en
SN  - 1932-6203
UR  - http://dx.doi.org/10.1371/journal.pone.0280345
ID  - ref1
ER  -