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5‐Year Survival of Geriatric Patients Following Trauma Center Discharge

5‐Year Survival of Geriatric Patients Following Trauma Center Discharge Little is known about the impact of trauma on geriatric injury survivors’ life expectancy. Does trauma in older adults influence time to death? What key patient and injury variables can predict 5-year postdischarge survival? This retrospective study used Cox proportional hazards models to quan- tify seniors’ risk for death within 5 years of injury and identify variables associated with life ex- pectancy. The hazard ratio for death in subjects versus matched controls was 6.26. Six patient and injury variables were identified that predicted 5-year vital status in the final multivariate model. There is an ongoing relationship between injury and shortened lifespan in geriatric trauma survivors. This relationship appears to be largely influenced by host factors, rather than by injury variables. Key words: accidents/injuries/trauma, aging, geriatric, outcome OTH longevity gains and active incidence of major traumatic events remains lifestyles have contributed to rising lower in the geriatric population than in B any other age group, the overall frequency injury frequency among older adults of injury is highest among seniors (M. Hall (Callaway & Wolfe, 2007; Lane, Sorondo, & Owings, 2000). Because of these trends, & Kelly, 2003). Trauma—intentional and geriatric trauma patients constitute the fastest unintentional injury—is now the ninth http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

5‐Year Survival of Geriatric Patients Following Trauma Center Discharge

Advanced Emergency Nursing Journal , Volume 31 (4) – Oct 1, 2009

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References (169)

Copyright
© 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e3181bd2a67
pmid
20118886
Publisher site
See Article on Publisher Site

Abstract

Little is known about the impact of trauma on geriatric injury survivors’ life expectancy. Does trauma in older adults influence time to death? What key patient and injury variables can predict 5-year postdischarge survival? This retrospective study used Cox proportional hazards models to quan- tify seniors’ risk for death within 5 years of injury and identify variables associated with life ex- pectancy. The hazard ratio for death in subjects versus matched controls was 6.26. Six patient and injury variables were identified that predicted 5-year vital status in the final multivariate model. There is an ongoing relationship between injury and shortened lifespan in geriatric trauma survivors. This relationship appears to be largely influenced by host factors, rather than by injury variables. Key words: accidents/injuries/trauma, aging, geriatric, outcome OTH longevity gains and active incidence of major traumatic events remains lifestyles have contributed to rising lower in the geriatric population than in B any other age group, the overall frequency injury frequency among older adults of injury is highest among seniors (M. Hall (Callaway & Wolfe, 2007; Lane, Sorondo, & Owings, 2000). Because of these trends, & Kelly, 2003). Trauma—intentional and geriatric trauma patients constitute the fastest unintentional injury—is now the ninth

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Oct 1, 2009

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