TY - JOUR PY - 2024// TI - Factors affecting outcomes among older trauma patients in Singapore: a retrospective observational study JO - Annals of the Academy of Medicine, Singapore A1 - Pan, Darius Shaw Teng A1 - Kuan, Win Sen A1 - Lee, Ming Zhou A1 - Thajudeen, Mohammed Zuhary A1 - Rahman, Mohamed Madeena Faizur A1 - Sheth, Irfan Abdulrahman A1 - Ong, Victor Yeok Kein A1 - Tang, Jonathan Zhe Ying A1 - Wee, Choon Peng Jeremy A1 - Chua, Mui Teng SP - 324 EP - 327 VL - 53 IS - 5 N2 - Singapore faces a rapidly ageing population with its median age projected to be above 45 years by 2030. Our greying demographics is accompanied by a rise in chronic diseases and medication use, including polypharmacy.1 Longer life expectancy and increased activity levels have contributed to higher incidence of geriatric trauma locally, with a three-fold rise between 2004 and 2015.2 Older patients are at greater risk of poorer outcomes following trauma.3 However, the impact of comorbidities and medication use on post-trauma outcomes in Singapore's ageing population remains unclear. From the trauma registries at 2 tertiary trauma centres--Singapore General Hospital and National University Hospital--in Singapore, we identified patients aged 45 years and above who presented to the emergency departments (EDs) for injuries between 2011 and 2015. Data on demographics, injury types and severity, comorbid conditions and medication use were collected through chart reviews of electronic medical records. We evaluated these factors in relation to clinical outcomes including mortality, ED disposition, hospital length-of-stay and discharge venue. Patients were divided into the following age groups for analysis: 45-64 (middle-aged), 65-74 (young-old), 75-84 years (middle-old) and 85 years and above (old-old)...
Language: en
LA - en SN - 0304-4602 UR - http://dx.doi.org/10.47102/annals-acadmedsg.2023295 ID - ref1 ER -