Abstract
Geriatric traumatic injuries in emergency departments are frequent and associated with higher mortality rates and catastrophic functional outcomes. Several prediction scores have been established to manage traumatic patients, including the shock index (SI), revised trauma score (RTS), injury severity score (ISS), trauma injury severity score (TRISS), and new injury severity score (NISS). However, it was necessary to investigate the effectiveness and efficiency of care for the geriatric traumatic population. In addition, image studies such as computed tomography and magnetic resonance imaging play an important role in early diagnosis and timely intervention. However, few studies focus on this aspect. The association between the benefit of carrying out more image studies and clinical outcomes remains unclear. In this study, we included a total of 2688 traumatic patients and analyzed the clinical outcomes and predicting factors in terms of geriatric trauma via pre-hospital and in-hospital analysis. Our evaluation revealed that a shock index ≥1 may be not a strong predictor of geriatric trauma due to the poor physical response in the aging population. This should be modified in geriatric patients. Other systems, like RTS, ISS, TRISS, and NISS, were significant in terms of predicting the clinical outcome.
Highlights
Geriatric traumatic injuries frequently present in emergency departments and are always associated with catastrophic functional outcomes [1,2]
In terms of the place accidents occurred, the street was the major place where accidents occurred for the total patients, especially for the younger group compared to the elderly group (Figure 1D,E)
The results revealed that advanced age is not a significant predicting factor of the mortality rate [25,26]
Summary
Geriatric traumatic injuries frequently present in emergency departments and are always associated with catastrophic functional outcomes [1,2]. The higher mortality rate was reported in a previous study to be due to age-related factors, including comorbidity, poor physical reserves and the function of systemic compensation [3]. Several prediction score have been promoted to manage traumatic patients, including the shock index (SI), revised trauma score (RTS), injury severity score (ISS), trauma injury severity score (TRISS), and new injury severity score (NISS). These scores were commonly used to survey traumatic patients and provided an early warning sign for physicians [9,10,11,12]. We included 2688 Taiwanese traumatic patients and investigated the pre-hospital and in-hospital data to analyze clinical outcomes and the prediction scores for the elderly and younger patient groups
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
