Trauma-England最新文献

英文中文

Major trauma in the elderly: Frailty decline and patient experience after injury. 老年人的重大创伤:损伤后的虚弱、衰退和患者体验。

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2019-01-01 Epub Date: 2018-06-22 DOI: 10.1177/1460408618783221

Louis Koizia, Rosalind Kings, Alexander Koizia, George Peck, Mark Wilson, Shehan Hettiaratchy, Michael B Fertleman

Introduction: The prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients' perceptions of their injuries after discharge.

Aim: We hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.

Method: All consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.

Results: A total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (p < 0.05), and more than half commented positively on their overall quality of life following injury.

Conclusions: These findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.

引言:随着西方社会的老龄化，老年人重大创伤的患病率正在增加。虚弱现在被公认为是受伤后预后不良的一个预测因素;然而，很少有研究关注衰弱的进展和出院后患者对损伤的感知。目的:我们假设，在重大创伤中幸存的老年患者数量很低，而在那些幸存的患者中，受伤后的虚弱状况随着对生活质量的总体负面看法而恶化。为了研究这一点，我们在1级创伤中心检查了住院一年后老年人严重创伤的死亡率、虚弱和患者经历。方法:所有≥75、损伤严重程度评分> 15的连续患者均纳入研究。患者被邀请参加一个结构化的电话访谈，以评估虚弱状态的变化，以及评估患者受伤后的经历。结果:79例患者符合纳入标准;34例死亡，17例失联;结论:这些发现突出了老年重大创伤患者死亡率的升高，但也表明对创伤后生活质量的先入为主的看法可能不合适。

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引用次数: 13

Falling down a flight of stairs: The impact of age and intoxication on injury pattern and severity. 从楼梯上摔下来:年龄和中毒对损伤模式和严重程度的影响。

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2018-07-01 Epub Date: 2017-08-01 DOI: 10.1177/1460408617720948

Hridesh Chatha, Ian Sammy, Michael Hickey, Abdo Sattout, John Hollingsworth

Background: Falling down a flight of stairs is a common injury mechanism in major trauma patients, but little research has been undertaken into the impact of age and alcohol intoxication on the injury patterns of these patients. The aim of this study was to compare the impact of age and alcohol intoxication on injury pattern and severity in patients who fell down a flight of stairs.

Methods: This was a retrospective observational study of prospectively collected trauma registry data from a major trauma centre in the United Kingdom comparing older and younger adult patients admitted to the Emergency Department following a fall down a flight of stairs between July 2012 and March 2015.

Results: Older patients were more likely to suffer injuries to all body regions and sustained more severe injuries to the spine; they were also more likely to suffer polytrauma (23.6% versus 10.6%; p < 0.001). Intoxicated patients were more likely to suffer injuries to the head and neck (42.9% versus 30.5%; p = 0.006) and were significantly younger than sober patients (53 versus 69 years; p < 0.001).

Conclusion: Older patients who fall down a flight of stairs are significantly different from their younger counterparts, with a different injury pattern and a greater likelihood of polytrauma. In addition, alcohol intoxication also affects injury pattern in people who have fallen down a flight of stairs, increasing the risk of traumatic brain injury. Both age and intoxication should be considered when managing these patients.

背景:从楼梯上摔下是重大创伤患者常见的损伤机制，但年龄和酒精中毒对这些患者损伤模式的影响研究甚少。这项研究的目的是比较年龄和酒精中毒对从楼梯上摔下来的病人的损伤模式和严重程度的影响。方法:这是一项回顾性观察性研究，前瞻性收集了来自英国一家主要创伤中心的创伤登记数据，比较了2012年7月至2015年3月期间因从楼梯上摔下而入院的老年和年轻成人患者。结果:老年患者更容易出现全身各部位损伤，脊柱损伤更严重;他们也更容易遭受多重创伤(23.6%对10.6%;结论:老年患者从楼梯上摔下的情况与年轻患者明显不同，损伤模式不同，多发伤的可能性更大。此外，酒精中毒还会影响从楼梯上摔下来的人的损伤模式，增加创伤性脑损伤的风险。在处理这些患者时应考虑年龄和中毒情况。

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引用次数: 21

Regional strategy development in the East Midlands 东米德兰的区域战略发展

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.011

P. Foley

引用次数: 2

Regionalism in North East England 英格兰东北部的地方主义

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.010

P. Benneworth, J. Tomaney

引用次数: 5

Yorkshire (and the Humber) 约克郡(和亨伯河)

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.004

Simon Lee

引用次数: 0

The South East region? 东南地区?

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.009

P. John, S. Musson, A. Tickell

引用次数: 0

Regional government in England: reviewing the evidence base 英格兰地方政府:回顾证据基础

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.002

Wendy Russell Barter

引用次数: 3

The South West 西南地区

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.007

T. Bridges

引用次数: 0

Institutional collaboration in the West Midlands region 西米德兰兹地区的机构合作

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.2307/j.ctt1t89f3j.10

S. Ayres, J. Mawson, G. Pearce

引用次数: 6

England's North West 英格兰西北部

IF 0.6 Q4 EMERGENCY MEDICINE

Trauma-England

Pub Date : 2002-07-24 DOI: 10.46692/9781847425539.006

B. Giordano

引用次数: 1

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