Octogenarians and motor vehicle collisions: Postdischarge mortality is lower than expected

This study focuses on the 1-year postdischarge mortality among octogenarians involved in motor vehicle collisions (MVCs). It seeks to explore the association between MVC injury severity, injury patterns and hospital course with long term mortality outcomes. The authors conducted a 10-year retrospective review of 199 trauma patients aged 80 years and older. Of those individuals studied, 22 died within 12 months, with the cause of death directly related to trauma in 9 patients, likely related to trauma in 7 patients, and not related to trauma in 6 patients. Those patients considered to be more severely injured based on their Injury Severity Score (ISS) and those admitted to intensive are units were more likely to die within 12 months of discharge. Those patients with rib, hip and pelvic injuries did not show higher postdischarge mortality rates, nor did those with intubuation upon hospital arrival or who needed mechanical ventilation. The findings of the study indicate that the predictive factors for discharge mortality within 12 months of discharge were injury severity, ICU admission and ICU duration. In all, the study's results did not support the common belief that most octogenarians with MVC-related trauma will die within a year of hospital discharge.

• Record URL:
  https://doi.org/10.1097/TA.0b013e3182aa9cc6
• Record URL:
  http://journals.lww.com/jtrauma/Fulltext/2013/12000/Octogenarians_and_motor_vehicle_collisions__.23.aspx
• Availability:
  • Find a library where document is available. Order URL: http://worldcat.org/issn/21630755
• Authors:
  • Soba, Kathryn S
  • Dong, Frank
  • Ward, Jeanette G
  • Crawford, Greg
  • Helmer, Stephen D
  • Lemon, Michael L
  • Nold, R Joseph
  • Haan, James M
• Publication Date: 2013-12

Language

• English

Media Info

• Media Type: Print
• Features: References; Tables;
• Pagination: pp 1076-1080
• Serial:
  • Journal of Trauma and Acute Care Surgery
  • Volume: 75
  • Issue Number: 6
  • Publisher: Lippincott Williams & Wilkins
  • ISSN: 2163-0755
  • EISSN: 2163-0763
  • Serial URL: http://journals.lww.com/jtrauma/

Subject/Index Terms

• TRT Terms: Aged drivers; Crash injuries; Crash victims; Epidemiology; Fatalities; Hospitals; Injury severity; Outcome (Medical treatment); Traffic crashes
• Uncontrolled Terms: Intensive care; Mortality
• Subject Areas: Highways; Safety and Human Factors; I83: Accidents and the Human Factor; I84: Personal Injuries;

Filing Info

• Accession Number: 01505552
• Record Type: Publication
• Files: TRIS
• Created Date: Jan 27 2014 11:20AM