TY  - JOUR
PY  - 2024//
TI  - Prognostic association between injury severity score and the outcomes of elderly patients with trauma in South Korea
JO  - Journal of personalized medicine
A1  - Kim, Jae-Guk
A1  - Choi, Hyun-Young
A1  - Kang, Gu-Hyun
A1  - Jang, Yong-Soo
A1  - Kim, Wonhee
A1  - Lee, Yoonje
A1  - Ahn, Chiwon
SP  - 
EP  - 
VL  - 14
IS  - 7
N2  - This study investigated the impact of the Injury Severity Score (ISS) on treatment approaches and survival outcomes in trauma patients, focusing on comparing elderly (≥65 years) with non-elderly patients. It analyzed adult trauma cases with abnormal Revised Trauma Scores from January to December 2019, categorizing patients into three severity groups based on ISS: mild (1-8), moderate (9-15), and severe (≥16). The study examined how ISS influenced therapeutic interventions and survival among elderly patients, comparing these outcomes to non-elderly patients using multivariable logistic regression analysis. In 16,336 adult trauma cases out of 52,262 patients, including 4886 elderly and 11,450 non-elderly patients, findings revealed that in the severe group, elderly patients had a lower, though not statistically significant, incidence of surgical or embolization interventions compared to the moderate group, differing from non-elderly patients. No significant differences were observed in the mild group between elderly and non-elderly patients. However, elderly patients had higher intervention rates in the moderate group and lower in the severe group, with significantly lower survival-to-discharge rates in the severe group. The ISS is insufficient for assessing trauma severity in elderly patients. Additional tools are needed for better evaluation and treatment decisions.<p />  <p>Language: en</p>
LA  - en
SN  - 2075-4426
UR  - http://dx.doi.org/10.3390/jpm14070674
ID  - ref1
ER  -