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  1. Long-term survival of elderly trauma patients.

    Article - En anglais

    objective 

    To evaluate the long-term survival and factors that influence survival among a cohort of elderly trauma patients compared with an uninjured cohort.

    Design 

    A retrospective cohort analysis.

    Data Sources 

    Health Care Finance Administration, Bal-timore, Md, Medicare data.

    Subjects 

    A cohort of elderly patients (n=9424) hospitalized for injury in 1987 was identified using Medicare hospital discharge abstract data.

    An uninjured comparison group (n=37 787) was identified from Medicare eligibility files.

    For injured patients, an Injury Severity Score was generated from the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9CM) codes.

    For both cohorts, preexisting illness was assessed by ICD-9CM codes from Health Care Finance Administration outpatient and inpatient data files for 1986 and 1987.

    Main Outcome Measures 

    Relative risk for mortality within 5 years subsequent to injury, adjusted for age, sex, and preexisting illness, using Cox proportional hazard regression.

    Results 

    The injured cohort had a significantly reduced 5-year survival when compared with the uninjured group (relative risk [RR]=1.71 ; 95% confidence interval, 1.66-1.77).

    The lower survival persisted even among patients who survived at least 3 years after injury.

    Coexisting disease, age, and Injury Severity Score were strong predictors of survival. (...)

    Mots-clés Pascal : Traumatisme, Evolution, Long terme, Influence, Age, Association morbide, Etude statistique, Homme

    Mots-clés Pascal anglais : Trauma, Evolution, Long term, Influence, Age, Concomitant disease, Statistical study, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0494569

    Code Inist : 002B30A01A2. Création : 03/02/1998.