trauma in the elderly; geriatric trauma

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Etiology

Epidemiology

  • trauma increases in mortality rate at ages 55, 77, & 82 years

Pathology

* see age-related physiological changes

Clinical significance

Complications

Management

* older patients more likely to require surgery & intensive care after trauma than younger patients[6]

More general terms

Additional terms

References

  1. 1.0 1.1 Fakhry SM, Morse JL, Garland JM et al REDEFINING GERIATRIC TRAUMA. 55 IS THE NEW 65 J Trauma Acute Care Surg. 2021. Jan 6 AAST Poster Not indexed in PubMed https://journals.lww.com/jtrauma/Abstract/9000/REDEFINING_GERIATRIC_TRAUMA__55_IS_THE_NEW_65.97616.aspx
  2. Horst MA, Morgan ME, Vernon TM et al The geriatric trauma patient: A neglected individual in a mature trauma system. J Trauma Acute Care Surg. 2020 Jul;89(1):192-198 PMID: https://www.ncbi.nlm.nih.gov/pubmed/32118822 https://journals.lww.com/jtrauma/Abstract/2020/07000/The_geriatric_trauma_patient__A_neglected.30.aspx
  3. 3.0 3.1 Ross SW, Adeyemi FM, Zhou M et al One-year mortality in geriatric trauma patients: Improving upon the geriatric trauma outcomes score utilizing the social security death index. J Trauma Acute Care Surg. 2019 November 87(5):1148-1155 PMID: https://www.ncbi.nlm.nih.gov/pubmed/31318764 https://journals.lww.com/jtrauma/Abstract/2019/11000/One_year_mortality_in_geriatric_trauma_patients_.20.aspx
  4. 4.0 4.1 4.2 4.3 Joseph B, Pandit V, Zangbar B et al Superiority of frailty over age in predicting outcomes among geriatric trauma patients: a prospective analysis. JAMA Surg. 2014 Aug;149(8):766-72. PMID: https://www.ncbi.nlm.nih.gov/pubmed/24920308 https://jamanetwork.com/journals/jamasurgery/fullarticle/1879845
  5. 5.0 5.1 5.2 5.3 Gioffre-Florio M, Murabito LM, Visalli C, Pergolizzi FP, Fama F Trauma in elderly patients: a study of prevalence, comorbidities and gender differences. G Chir. 2018 Jan-Feb;39(1):35-40. PMID: https://www.ncbi.nlm.nih.gov/pubmed/29549679 PMCID: PMC5902142 Free PMC article
  6. 6.0 6.1 6.2 Ichwan B et al. Geriatric-specific triage criteria are more sensitive than standard adult criteria in identifying need for trauma center care in injured older adults. Ann Emerg Med 2014 Jun 5 PMID: https://www.ncbi.nlm.nih.gov/pubmed/24908590
  7. 7.0 7.1 7.2 7.3 Park C, Bharija A, Mesias M et al Association Between Implementation of a Geriatric Trauma Clinical Pathway and Changes in Rates of Delirium in Older Adults With Traumatic Injury. JAMA Surg. 2022 Aug 1;157(8):676-683 PMID: https://www.ncbi.nlm.nih.gov/pubmed/35675065 PMCID: PMC9178494 (available on 2023-06-08)
    Zhao B, Xing H, Ma W Implementation of a Geriatric Trauma Clinical Pathway. JAMA Surg. Published online October 5, 2022. https://jamanetwork.com/journals/jamasurgery/fullarticle/2797093
    Park C, Staudenmayer K Implementation of a Geriatric Trauma Clinical Pathway- Reply JAMA Surg. Published online October 5, 2022. https://jamanetwork.com/journals/jamasurgery/fullarticle/2797091
  8. Kregel HR, Pedroza C, Sunez F et al The geriatric trauma hospitalist service: An analysis of a management strategy for injured older adults. J Am Geriatr Soc. 2024 Sep;72(9):2752-2758. PMID: https://www.ncbi.nlm.nih.gov/pubmed/38970303 PMCID: PMC11368630 (available on 2025-09-01)