Relationship of Age, Injury Severity, Injury Type, Comorbid Conditions, Level of Care, and Survival Among Older Motor Vehicle Trauma Patients

This article reports on a study of 1,478 older motor vehicle trauma patients. The author investigated age, injury severity, injury types, selected comorbidities, level of care (at both trauma center and non-trauma center hospitals), and survival in these patients. Patients admitted to both levels of care had similar comorbid conditions. Trauma center (TC) patients had a higher injury severity, whereas non-trauma center (NTC) patients had a greater proportion of soft tissue injuries. Analysis revealed that higher injury severity was associated with TC admission. The likelihood of TC admission of severely injured patients decreased in the presence of spinal, internal, and head injuries. Internal injuries, liver, renal, and cardiovascular diseases were associated with non-survival while hypertension was associated with survival. The author concludes by cautioning that special attention is needed when triaging older trauma patients. Their injuries may be covert, thus putting them at risk for admission to a level of care that may be inappropriate given the extent of their injuries.

  • Authors:
    • Scheetz, Linda J
  • Publication Date: 2005-6

Language

  • English

Media Info

  • Media Type: Print
  • Features: References;
  • Pagination: pp 198-209
  • Serial:

Subject/Index Terms

Filing Info

  • Accession Number: 01002953
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Aug 19 2005 12:57PM