Geriatric trauma: A review of past nursing literature and the present experiences of a trauma center

2.50
Hdl Handle:
http://hdl.handle.net/10755/152813
Type:
Presentation
Title:
Geriatric trauma: A review of past nursing literature and the present experiences of a trauma center
Abstract:
Geriatric trauma: A review of past nursing literature and the present experiences of a trauma center
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Dekeyser, Freda, PhD
P.I. Institution Name:
Title:
During the past decade there has been a large increase in the

volume of research related to the geriatric population. This

growth is somewhat reflected in the area of geriatric trauma. A

computerized literature search of nursing articles related to

geriatric trauma was conducted. Results show that the number of

articles related to elderly falls and hip fractures per calendar

year has slowly increased over the past 8 years. However the

number of articles published per year associated with major

geriatric trauma not associated with falls has remained small and

has not grown. A total of 17 geriatric trauma articles not

associated with falls were found in nursing journals over the past

8 years.



Once injured, geriatric patients have a higher incidence of

morbidity and mortality than other age groups. Age alone has been

shown to be a strong predictor of mortality. Higher levels of

mortality are seen in the elderly with less severe injuries than

younger age groups. The geriatric trauma patient also experiences

a higher level of complications and takes longer to recover from

traumatic injury.



The purpose of this study was to retrospectively review and

evaluate the incidence, type of trauma and clinical outcomes

associated with geriatric trauma over a one year period. All

patients whose age was greater than or equal to 65 years old and

who were admitted to the trauma center within this one year period

were included.



Charts were reviewed and coded by a trauma database specialist.

Demographic data as well as cause of injury, Injury Severity Score,

Revised Trauma Score, length of stay and functional ability

outcomes were evaluated. Descriptive statistics and comparisons

with other age groups were conducted.



Results show that approximately 20 percent of all trauma patients

admitted to the trauma center were 65 years old or older. Sixty

percent of these patients were 75 years old or older. The vast

majority of these cases were minor injuries while only 12 percent

were considered multiple traumas. Causes of multiple traumas were

similar to the general population where motor vehicle accidents and

falls were the most frequent causes of injury. Mortality levels

are also higher for geriatric as opposed to younger trauma victims.



These data show that people over the age of 65 comprise a

considerable percentage of trauma patients and that they tend to be

sicker and die more often than their younger counterparts.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleGeriatric trauma: A review of past nursing literature and the present experiences of a trauma centeren_GB
dc.identifier.urihttp://hdl.handle.net/10755/152813-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Geriatric trauma: A review of past nursing literature and the present experiences of a trauma center</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dekeyser, Freda, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value"> </td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value"> </td></tr><tr><td colspan="2" class="item-abstract">During the past decade there has been a large increase in the<br/><br/>volume of research related to the geriatric population. This<br/><br/>growth is somewhat reflected in the area of geriatric trauma. A<br/><br/>computerized literature search of nursing articles related to<br/><br/>geriatric trauma was conducted. Results show that the number of<br/><br/>articles related to elderly falls and hip fractures per calendar<br/><br/>year has slowly increased over the past 8 years. However the<br/><br/>number of articles published per year associated with major<br/><br/>geriatric trauma not associated with falls has remained small and<br/><br/>has not grown. A total of 17 geriatric trauma articles not<br/><br/>associated with falls were found in nursing journals over the past<br/><br/>8 years.<br/><br/><br/><br/>Once injured, geriatric patients have a higher incidence of<br/><br/>morbidity and mortality than other age groups. Age alone has been<br/><br/>shown to be a strong predictor of mortality. Higher levels of<br/><br/>mortality are seen in the elderly with less severe injuries than<br/><br/>younger age groups. The geriatric trauma patient also experiences<br/><br/>a higher level of complications and takes longer to recover from<br/><br/>traumatic injury.<br/><br/><br/><br/>The purpose of this study was to retrospectively review and<br/><br/>evaluate the incidence, type of trauma and clinical outcomes<br/><br/>associated with geriatric trauma over a one year period. All<br/><br/>patients whose age was greater than or equal to 65 years old and<br/><br/>who were admitted to the trauma center within this one year period<br/><br/>were included.<br/><br/><br/><br/>Charts were reviewed and coded by a trauma database specialist.<br/><br/>Demographic data as well as cause of injury, Injury Severity Score,<br/><br/>Revised Trauma Score, length of stay and functional ability<br/><br/>outcomes were evaluated. Descriptive statistics and comparisons<br/><br/>with other age groups were conducted.<br/><br/><br/><br/>Results show that approximately 20 percent of all trauma patients<br/><br/>admitted to the trauma center were 65 years old or older. Sixty<br/><br/>percent of these patients were 75 years old or older. The vast<br/><br/>majority of these cases were minor injuries while only 12 percent<br/><br/>were considered multiple traumas. Causes of multiple traumas were<br/><br/>similar to the general population where motor vehicle accidents and<br/><br/>falls were the most frequent causes of injury. Mortality levels<br/><br/>are also higher for geriatric as opposed to younger trauma victims.<br/><br/><br/><br/>These data show that people over the age of 65 comprise a<br/><br/>considerable percentage of trauma patients and that they tend to be<br/><br/>sicker and die more often than their younger counterparts.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T11:50:52Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T11:50:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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