Trauma-England最新文献_第2页

Major trauma in the elderly: Frailty decline and patient experience after injury. 老年人的重大创伤:损伤后的虚弱、衰退和患者体验。

IF 0.6

Trauma-England Pub Date : 2019-01-01 Epub Date: 2018-06-22 DOI: 10.1177/1460408618783221

Louis Koizia, Rosalind Kings, Alexander Koizia, George Peck, Mark Wilson, Shehan Hettiaratchy, Michael B Fertleman

{"title":"Major trauma in the elderly: Frailty decline and patient experience after injury.","authors":"Louis Koizia, Rosalind Kings, Alexander Koizia, George Peck, Mark Wilson, Shehan Hettiaratchy, Michael B Fertleman","doi":"10.1177/1460408618783221","DOIUrl":"https://doi.org/10.1177/1460408618783221","url":null,"abstract":"Introduction: The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients' perceptions of their injuries after discharge.Aim: We hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.Method: All consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.Results: A total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (p < 0.05), and more than half commented positively on their overall quality of life following injury.Conclusions: These findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.","PeriodicalId":45797,"journal":{"name":"Trauma-England","volume":"21 1","pages":"21-26"},"PeriodicalIF":0.6,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1460408618783221","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36799795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity. 从楼梯上摔下来:年龄和中毒对损伤模式和严重程度的影响。

IF 0.6

Trauma-England Pub Date : 2018-07-01 Epub Date: 2017-08-01 DOI: 10.1177/1460408617720948

Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth

{"title":"Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity.","authors":"Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth","doi":"10.1177/1460408617720948","DOIUrl":"https://doi.org/10.1177/1460408617720948","url":null,"abstract":"Background: Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs.Methods: This was a retrospective observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015.Results: Older patients were more likely to suffer injuries to all body regions and sustained more severe injuries to the spine; they were also more likely to suffer polytrauma (23.6% versus 10.6%; p < 0.001). Intoxicated patients were more likely to suffer injuries to the head and neck (42.9% versus 30.5%; p = 0.006) and were significantly younger than sober patients (53 versus 69 years; p < 0.001).Conclusion: Older patients who fall down a flight of stairs are significantly different from their younger counterparts, with a different injury pattern and a greater likelihood of polytrauma. In addition, alcohol intoxication also affects injury pattern in people who have fallen down a flight of stairs, increasing the risk of traumatic brain injury. Both age and intoxication should be considered when managing these patients.","PeriodicalId":45797,"journal":{"name":"Trauma-England","volume":"20 3","pages":"169-174"},"PeriodicalIF":0.6,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1460408617720948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36311098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

Regional strategy development in the East Midlands 东米德兰的区域战略发展

IF 0.6

Trauma-England Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.011

P. Foley