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  1. Trauma patients 75 years and older : Long-term follow-up results justify aggressive management. Discussion.

    Article, Communication - En anglais

    Annual Meeting of the American Association for Surgery of Trauma and the Japanese Association for Acute Medicine. Waikoloa, HI, USA, 1997/09/24.

    Background 

    Long-term survival rate and functional status after trauma for one of the fastest growing segments of the population, patients 75 years and older, is poorly documented.

    Methods 

    Trauma patients 75 years and older who were discharged from our Level I trauma center between June 1988 and July 1992 (n=279) were contacted by mail or phone.

    Public death records were used to identify patients who had died.

    A stepwise logistic regression analysis was performed to determine predictors of poor outcome (death within 6 months).

    Main outcome measures included mortality and self-assessed functional status.

    Results 

    A minimum 4-year follow-up was obtained for 81% of the 279 study patients.

    The mean follow-up period was 5.4 ± 1.1 years.

    Mean age at time of injury was 81 ± 5 years (range, 75-101 years) ; mean Injury Severity Score was 9.4 ± 7.7. At follow-up, 132 patients (47%) had died, 93 patients (33%) were contacted, and 54 patients (19%) could not be located.

    Twelve percent of patients survived less than 6 months after discharge.

    Poor survival was predicted by preexisting diseases (dementia, p=0.001 ; hypertension, p=0.02 ; and chronic obstructive pulmonary disease, p=0.05) and not by age or severity of injury.

    The mean age of patients still living was 85 ± 3. (...)

    Mots-clés Pascal : Traumatisme, Vieillard, Homme, Incidence, Etiologie, Facteur risque, Mortalité, Indication, Agressivité, Traitement, Relation, Evolution, Etude statistique, Gérontologie

    Mots-clés Pascal anglais : Trauma, Elderly, Human, Incidence, Etiology, Risk factor, Mortality, Indication, Aggressiveness, Treatment, Relation, Evolution, Statistical study, Gerontology

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

    Cote : 98-0238418

    Code Inist : 002B16N. Création : 11/09/1998.