Wataru Ishii (Kyoto / JP), Kenji Kandori (Kyoto / JP), Michitaro Miyaguni (Kyoto / JP), Hiromichi Narumiya (Kyoto / JP), Ryoji Iiduka (Kyoto / JP), Norio Sato (Touon / JP)
Abstract text (incl. references and figure legends)
Introduction: Japan has been progressing toward an aging society in recent years. In this study, we examined the physiological and anatomical status and outcome of elderly patients with blunt trauma who were admitted to our hospital.
Material & Methods: This observational study is a retrospective analysis of data from patients admitted and treated at our hospital and enrolled in a nationwide hospital-based database called the Japan Trauma Data Bank (JTDB). In this study, we collected the accident type the anatomical and physiological situations of injury, and outcomes. A total of 4647 patients were registered in the JTDB from 2011 to 2019 in our hospital. 2472 of Patients between 65 and 74 years old (Group A), and over 75 years old (Group B) were selected in the analysis.
Results: Physiological comparisons between group A and group B showed that group B had a significantly higher proportion of women and significantly higher systolic blood pressure and body temperature at arrival to hospital. The rate of alcohol consumption and Focused Assessment with Sonography for Trauma (FAST) positive were significantly higher in group A. Injury Severity Score (ISS) and AIS of head, face, neck, chest, abdomen, spine, and upper extremities were significantly higher in group A. Independent factors attributed to death were head AIS in group A, whereas FAST positive and AIS of head, chest, and spine.
Conclusions: Blunt trauma among the elderly is often caused by traffic accidents and alcohol consumption, and it is necessary for society to create an environment that protects the elderly from traffic accidents. Anatomical head injuries are associated with death in both groups, so it is important to prevent head injuries. In addition, it is important to prevent thoracic and spinal injuries in the elderly over 75 years of age.
References: Elderly trauma: the two years experience of a university-affiliated emergency department. Yildiz M. Eur Rev Med Pharmacol Sci. 2012; 16: 62-7.
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