FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2016605416> ?p ?o ?g. }

• W2016605416 endingPage "706" @default.
• W2016605416 startingPage "702" @default.
• W2016605416 abstract "Background Despite an increasing incidence, relatively few studies have examined the factors that predict morbidity and mortality in older patients and several reports have found standard predictors such as the Injury Severity Score to be less useful in this patient population. Similarly, the effect of skeletal injury has not been examined with regard to complications and mortality. The purpose of this study was to review a large multicenter experience with elderly trauma patients to isolate factors that might predict morbidity and mortality. The potential effect of skeletal long-bone injury was of particular interest. Methods The charts of all patients older than 60 years who were admitted to one of four Level I trauma centers after sustaining blunt trauma were reviewed. Mechanisms of injury included in the study were motor vehicle crash, pedestrian struck, fall from a height, and crush injury. Slip-and-fall injuries were excluded. A total of 326 patients met inclusion criteria. Variables studied included age, sex, mechanism of injury, Injury Severity Score (ISS), Revised Trauma Score, Glasgow Coma Scale (GCS) score, blood transfusion, fluid resuscitation, surgery performed (laparotomy, long-bone fracture stabilization, both), and timing of surgery. Outcome variables measured included incidence of adult respiratory distress syndrome, pneumonia, sepsis, myocardial infarction, deep venous thromboembolism, gastrointestinal complications, and death. [chi squared], logistic regression, t test, and nonparametric analyses were done as appropriate for the type of variable. Results The average age of the patients was 72.2 +/- 8 years. Overall, 59 patients (18.1%) died, of whom 52 of 59 survived at least 24 hours. Statistical significance for continuous variables (p < 0.05) using univariate analysis was reached for the following factors for the patients who died: higher ISS (33.1 vs. 16.4), lower GCS score (11.5 vs. 13.9), greater transfusion requirement (10.9 vs. 2.9 U), and more fluid infused (12.4 vs. 4.9 L). Logistic regression analysis was performed to determine the factors that predicted mortality. They included (odds ratios and p values in parentheses) transfusion (1.11, p = 0.01), ISS (1.04, p = 0.008), GCS score (0.87, p = 0.007), and fluid requirement (1.06, p = 0.06). Regarding surgery, orthopedic surgery alone had an odds ratio of 0.53, indicating that orthopedic patients was less likely to die than patients who did not undergo any surgery. Patients who underwent only a general surgical procedure were 2.5 times more likely to die (p = 0.03) and patients who underwent both general and orthopedic procedures were 1.5 times more likely to die (p = 0.32) than patients who did not require surgery. Early (<or=to24 hours) versus late (>24 hours) surgery for bony stabilization did not have a statistical effect on mortality (11% early vs. 18% late). Two patients in need of bony stabilization, however, died before these procedures were performed. With regard to complications, regression analysis revealed that ISS predicted adult respiratory distress syndrome, pneumonia, sepsis, and gastrointestinal complications; fluid transfusion predicted myocardial infusion; and need for surgery and transfusion requirements predicted sepsis. These complications, in turn, were significant risk factors for mortality. This large series of elderly patients demonstrates that mortality correlates closely with ISS and is influenced by blood and fluid requirements and by GCS score. The institution-specific mortality was the same when adjusted for ISS. The need for orthopedic surgery and the timing of the surgery was not a risk factor for systemic complications or mortality in this series. Conclusion Mortality is predicted by ISS and by complications in older patients. Seventy-seven percent of the orthopedic injuries were stabilized early, but the timing of surgery did not have any statistical effect on the incidence of complications or mortality. Two patients who died before orthopedic procedures could be performed were excluded from the analysis of bony stabilization. Patients who required only general surgical procedures were at the highest risk for mortality, which, upon closer look, correlates with a higher Abbreviated Injury Scale score for abdominal, chest, and head injury. Further efforts are needed to evaluate the proper resuscitation for elderly patients." @default.
• W2016605416 created "2016-06-24" @default.
• W2016605416 creator A5001398889 @default.
• W2016605416 creator A5005601154 @default.
• W2016605416 creator A5006578399 @default.
• W2016605416 creator A5007506396 @default.
• W2016605416 creator A5017111713 @default.
• W2016605416 creator A5049702070 @default.
• W2016605416 creator A5060514761 @default.
• W2016605416 creator A5073659207 @default.
• W2016605416 creator A5080502879 @default.
• W2016605416 creator A5089254594 @default.
• W2016605416 date "1999-04-01" @default.
• W2016605416 modified "2023-10-16" @default.
• W2016605416 title "Morbidity and Mortality in Elderly Trauma Patients" @default.
• W2016605416 cites W1971916869 @default.
• W2016605416 cites W2007444551 @default.
• W2016605416 cites W2032406032 @default.
• W2016605416 cites W2032857002 @default.
• W2016605416 cites W2036032556 @default.
• W2016605416 cites W2036704216 @default.
• W2016605416 cites W2041282944 @default.
• W2016605416 cites W2043704626 @default.
• W2016605416 cites W2044098758 @default.
• W2016605416 cites W2053793674 @default.
• W2016605416 cites W2084070424 @default.
• W2016605416 cites W2093089302 @default.
• W2016605416 cites W2151855296 @default.
• W2016605416 cites W2257280022 @default.
• W2016605416 cites W2416357498 @default.
• W2016605416 cites W4233979697 @default.
• W2016605416 cites W4246795356 @default.
• W2016605416 cites W4254117192 @default.
• W2016605416 doi "https://doi.org/10.1097/00005373-199904000-00024" @default.
• W2016605416 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10217237" @default.
• W2016605416 hasPublicationYear "1999" @default.
• W2016605416 type Work @default.
• W2016605416 sameAs 2016605416 @default.
• W2016605416 citedByCount "243" @default.
• W2016605416 countsByYear W20166054162012 @default.
• W2016605416 countsByYear W20166054162013 @default.
• W2016605416 countsByYear W20166054162014 @default.
• W2016605416 countsByYear W20166054162015 @default.
• W2016605416 countsByYear W20166054162016 @default.
• W2016605416 countsByYear W20166054162017 @default.
• W2016605416 countsByYear W20166054162018 @default.
• W2016605416 countsByYear W20166054162019 @default.
• W2016605416 countsByYear W20166054162020 @default.
• W2016605416 countsByYear W20166054162021 @default.
• W2016605416 countsByYear W20166054162022 @default.
• W2016605416 countsByYear W20166054162023 @default.
• W2016605416 crossrefType "journal-article" @default.
• W2016605416 hasAuthorship W2016605416A5001398889 @default.
• W2016605416 hasAuthorship W2016605416A5005601154 @default.
• W2016605416 hasAuthorship W2016605416A5006578399 @default.
• W2016605416 hasAuthorship W2016605416A5007506396 @default.
• W2016605416 hasAuthorship W2016605416A5017111713 @default.
• W2016605416 hasAuthorship W2016605416A5049702070 @default.
• W2016605416 hasAuthorship W2016605416A5060514761 @default.
• W2016605416 hasAuthorship W2016605416A5073659207 @default.
• W2016605416 hasAuthorship W2016605416A5080502879 @default.
• W2016605416 hasAuthorship W2016605416A5089254594 @default.
• W2016605416 hasConcept C120665830 @default.
• W2016605416 hasConcept C121332964 @default.
• W2016605416 hasConcept C141071460 @default.
• W2016605416 hasConcept C167135981 @default.
• W2016605416 hasConcept C17624336 @default.
• W2016605416 hasConcept C190385971 @default.
• W2016605416 hasConcept C194828623 @default.
• W2016605416 hasConcept C2776692886 @default.
• W2016605416 hasConcept C2777175280 @default.
• W2016605416 hasConcept C2777521253 @default.
• W2016605416 hasConcept C2777914111 @default.
• W2016605416 hasConcept C2780110798 @default.
• W2016605416 hasConcept C2908647359 @default.
• W2016605416 hasConcept C3017944768 @default.
• W2016605416 hasConcept C61511704 @default.
• W2016605416 hasConcept C71924100 @default.
• W2016605416 hasConcept C85004164 @default.
• W2016605416 hasConcept C99454951 @default.
• W2016605416 hasConceptScore W2016605416C120665830 @default.
• W2016605416 hasConceptScore W2016605416C121332964 @default.
• W2016605416 hasConceptScore W2016605416C141071460 @default.
• W2016605416 hasConceptScore W2016605416C167135981 @default.
• W2016605416 hasConceptScore W2016605416C17624336 @default.
• W2016605416 hasConceptScore W2016605416C190385971 @default.
• W2016605416 hasConceptScore W2016605416C194828623 @default.
• W2016605416 hasConceptScore W2016605416C2776692886 @default.
• W2016605416 hasConceptScore W2016605416C2777175280 @default.
• W2016605416 hasConceptScore W2016605416C2777521253 @default.
• W2016605416 hasConceptScore W2016605416C2777914111 @default.
• W2016605416 hasConceptScore W2016605416C2780110798 @default.
• W2016605416 hasConceptScore W2016605416C2908647359 @default.
• W2016605416 hasConceptScore W2016605416C3017944768 @default.
• W2016605416 hasConceptScore W2016605416C61511704 @default.
• W2016605416 hasConceptScore W2016605416C71924100 @default.
• W2016605416 hasConceptScore W2016605416C85004164 @default.
• W2016605416 hasConceptScore W2016605416C99454951 @default.

• next