Infuence of co-morbidity in the prognosis of politrauma in geriatric patients
© Famà et al; licensee BioMed Central Ltd. 2011
Published: 24 August 2011
In geriatric patients co-morbidity, i.e. the presence of several diseases simultaneously, is frequent, and exerts a decisive influence on elderly patients’ heading progressively towards complete loss of autonomy and exposure to very high risk injury. In the case of trauma and even more of polytrauma, the high level of comorbidity and drug therapies in the elderly, influence the outcome and the approach of medical treatment with important implications for both diagnostic and therapeutic plans. The increasing number of drugs (polypharmacy) required with increasing concomitant diseases (cardiovascular, neurological, musculoskeletal, etc.) stretch to influence the therapeutic response, with side effects that sometimes complicate multiple trauma, making therapeutic strategies particularly complex and difficult to manage.
Materials and methods
The patients with politrauma, had often impairment of vital functions, so the presence of comorbidity in geriatric patients is a state that can increase the risk of mortality and permanent disability. The frailties of the geriatric patient due to the presence of comorbidity makes it more difficult to handle and manage them in emergency conditions. Medical treatment is aimed at managing comorbidities. It is of note that, in our experience, the only death in polytrauma in 24 hours, from 2007 to 2010, was recorded in a geriatric patient.
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