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- W4306177710 abstract "Introduction: Older adults make up an increasing proportion of injured patients cared for at trauma centers. We describe the post-discharge outcomes of octogenarian, nonagenarian, and centenarian trauma patients. Methods: Moderate-severely injured (ISS≥9) patients≥80 years of age treated at one of three Level 1 trauma centers completed a phone-based survey 6-12 months after injury to assess post-discharge patient-centered outcomes. Multivariable logistic regression models were built to identify predictors of post-discharge outcomes. Results: A total of 862 patients were included. The median age was 86[83,90] years; 67% were female, 88% White, 69% had≥2 comorbidities, 82% had Medicare insurance. Perceived socioeconomic status (82% mid-high/high) and social support (79% strong/very strong) were high. The vast majority (93%) were injured as a result of a fall and median ISS was 9 [9, 14]. Extremity injuries were the most common (71%) followed by head (39%) and chest (20%) injury. Average hospital length of stay was 5.6±3.9days, 30% required ICU admission, and 72% were discharged to a rehabilitation/skilled nursing facility. At 6-12 months post-discharge, 58% reported new physical limitations in their activities of daily living, 39% had chronic pain and 17% reported an unplanned injury-related ED visit/readmission. Mental health disorders were uncommon. Extremity injury was a predictor of new functional limitation (OR:1.60 [1.05-2.45]). Conclusion: New physical limitations and chronic pain are common long-term sequelae of traumatic injury for older adults (≥80 years) who survive to hospital discharge. Better understanding the post-discharge outcomes for older adults will aid clinicians in providing anticipatory guidance to patients and their families." @default.
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- W4306177710 date "2022-10-17" @default.
- W4306177710 modified "2023-10-13" @default.
- W4306177710 title "Patient-Reported Outcomes at 6-12 Months for Injured Octogenarian, Nonagenarian, and Centenarian Patients" @default.
- W4306177710 doi "https://doi.org/10.1097/01.xcs.0000896544.23311.05" @default.
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