TY  - JOUR
PY  - 2023//
TI  - An analysis of trauma characteristics between the older and younger adult patient from the Pan Asian Trauma Outcome Study registry (PATOS)
JO  - Prehospital emergency care
A1  - Mohd Mokhtar, Mohd Amin
A1  - Azhar, Zahir Izuan
A1  - Jamaluddin, Sabariah Faizah
A1  - Cone, David Christopher
A1  - Shin, Sang Do
A1  - Shaun, Goh E.
A1  - Chiang, Wen Chu
A1  - Kajino, Kentaro
A1  - Song, Kyoung Jun
A1  - Son, Do Ngoc
A1  - Norzan, Nurul Azlean
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE Asia is experiencing a demographic shift towards an ageing population at an unrivalled rate. This can influence the characteristics and outcomes of trauma. We aim to examine different characteristics of older adult trauma patients compared to younger adult trauma patients and describe factors that affect the outcomes in Asian countries.<br><br>METHODS This is a retrospective, international, multicenter study of trauma across participating centres in the Pan Asian Trauma Outcome Study (PATOS) registry, which included trauma cases aged ≥ 18 years, brought to the emergency department (ED) by emergency medical services (EMS) from October 2015 to November 2018. Data of older adults (≥65 years) and younger adults (<65 years) were analyzed and compared. The primary outcome measures were in-hospital mortality, and secondary outcomes were disability at discharge, hospital and intensive care unit (ICU) length of stay.<br><br>RESULTS Of 39,804 trauma patients, 10,770 (27.1%) were older adults. Trauma occurred more among older adult women (54.7% vs 33.2%, p < 0.001). Falls were more frequent in older adults (66.3% vs 24.9%, p < 0.001) who also had higher mean Injury Severity Score (ISS) compared to the younger adult trauma patient (5.4 ± 6.78 vs 4.76 ± 8.60, p < 0.001). Older adult trauma patients had a greater incidence of poor GOS (13.4% vs 4.1%, p < 0.001), higher hospital mortality (1.5% vs 0.9%, p < 0.001) and longer median hospital length of stay (12.8 vs 9.8, p < 0.001). Multiple logistic regression revealed age (AOR 1.06, 95%CI 1.02-1.04, p < 0.001), male sex (AOR 1.60, 95%CI 1.04-2.46, p = 0.032), head and face injuries (AOR 3.25, 95%CI 2.06-5.11, p < 0.001), abdominal and pelvic injuries (AOR 2.78, 95%CI 1.48-5.23, p = 0.002), cardiovascular (AOR 2.71, 95%CI 1.40-5.22, p = 0.003), pulmonary (AOR 3.13, 95%CI 1.30-7.53, p = 0.011) and cancer (AOR 2.03, 95%CI 1.02-4.06, p = 0.045) comorbidities, severe ISS (AOR 2.06, 95%CI 1.23-3.45, p = 0.006), Glasgow Coma Scale (GCS) ≤ 8 (AOR 12.50, 95% CI 6.95-22.48, p < 0.001) were significant predictors of hospital mortality.<br><br>CONCLUSIONS Older trauma patients in the Asian region have a higher mortality rate than their younger counterparts, with many significant predictors. These findings illustrate the different characteristics of older trauma patients and their potential to influence the outcome. Preventive measures for elderly trauma should be targeted based on these factors.<p />  <p>Language: en</p>
LA  - en
SN  - 1090-3127
UR  - http://dx.doi.org/10.1080/10903127.2023.2237107
ID  - ref1
ER  -