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Volume 10 Supplement 1

de Senectute: Age and Health Forum

Traumatic injury in elderly: outcomes in emergency care unit

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Background

In Italy, trauma has high incidence of accesses in emergency room (ER) and a significant number of affects elderly patients. Postural instability, poor visual function, functional limitation and comorbidity increase the risk of falls.

Materials and methods

Between 2007 to 2008, 1611 elderly patients were admitted in our ER for traumatic injuries with moderate to severe prognosis. In our department there are an area of trauma with two Shock Rooms, where the Trauma Team evaluates clinical status and vital parameters using a “Trauma Complex table". Survival probability (Ps) is evaluated by Triss (Trauma and Injury Severity Score) or by ISS (Injury Severity Score) methods.

Results

The most prevalent injuries were: 864 (53.63%) head/facial trauma, 83 (5.15%), thoracic/ abdomen trauma. In over 50% of cases have involved single or multiple fractures, associated with major or minor trauma.

The incidence of femoral fractures was 16.69% (269 cases), followed by upper limbs 12.78% (206 cases) and ribs fractures 9.37% (151 cases).

The incidence of trauma in elderly population remained constant in the two years considered; the highest incidence interests the population with age range 75-84 years old. The majority of the patients was females(65.23%).We have not observed any death in the emergency room.

613 patients (38.05%) were hospitalized, 84 (5.21%) has been transferred in other hospitals.

The 38.05% (613) of patients were discharged.

Conclusions

The extension of the middle life increases the risk of home or walking traumatic injuries and the numbers of admission in ER. A correct management of trauma can reduce morbidity, mortality and hospitalization. The correct application of guide lines in Shock Room and the use of Trauma Complex table have allowed us to obtain an absence of mortality in ER. The prevalence of fractures in females, in our view, is related to osteoporosis.Particular attention should be carry out to patients undertaken anticoagulant therapy, because high morbidity was been observed later traumatic events.

References

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    Gioffrè Florio M, Fama F, Gullo G, Buccheri G, Beccaria A, Caruso A, Cucinotta F, Estollo C, Malara C, Mamo M, Manti L, Placanica P, Versace G: The management of polytrauma: our experience. Chir Ital. 2005, 57 (4): 485-9.

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    Raum MR, Nijsten MW, Vogelzang M, Schuring F, Lefering R, Bouillon B, Rixen D, Neugebauer EA, Ten Duis HJ: Emergency trauma score: An instrument for early aestimation of trauma severity. Crit Care Med. 2009, 37 (6): 2122-3. 10.1097/CCM.0b013e31819fe96a.

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Author information

Correspondence to F Fama.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fama, F., Murabito, L., Villari, S. et al. Traumatic injury in elderly: outcomes in emergency care unit. BMC Geriatr 10, A106 (2010) doi:10.1186/1471-2318-10-S1-A106

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Keywords

  • Emergency Room
  • Femoral Fracture
  • Injury Severity Score
  • Traumatic Injury
  • Prevalent Injury