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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1997-10-10
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pubmed:abstractText |
Multiple injuries in elderly patients are still a common problem. The present study was performed to investigate mortality and complications in multiple trauma patients aged 65 years or more. A total of 1154 multiple trauma patients with an injury severity score (ISS) of at least 18 points were divided in two age groups: Y: 16-64 years, n = 1022; O: 65-94 years, n = 132. Older patients were injured as pedestrians in most cases (69%), while younger patients were more frequently injured as car and drivers passengers (41%). ISS was comparable in both groups (Y 28 +/- 1, O 27 +/- 1). During ICU-therapy incidence of ARDS (Y 10%, O 11%), multiple organ dysfunction syndrome (MOF; Y 6%, O 9%) and pneumonia (Y 17%, O 21%) were comparable. In contrast, septic complications were more frequent in older patients (Y 19%, O 27%). Length of ICU stay (Y 19 +/- 2, O 18 +/- 1) and ventilation time (Y 14 +/- 2, O 17 +/- 1) were comparable. Mortality was significantly higher in older patients (Y 15%, O 53%). The major cause of death was sepsis in older patients (Y 15%, O 31%) and MOF in younger patients (Y 54%, O 29%). In conclusion, older trauma patients had a higher mortality due to the development of septical complications.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
|
pubmed:issn |
0177-5537
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
100
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
477-82
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9333959-Accidents, Traffic,
pubmed-meshheading:9333959-Adolescent,
pubmed-meshheading:9333959-Adult,
pubmed-meshheading:9333959-Aged,
pubmed-meshheading:9333959-Aged, 80 and over,
pubmed-meshheading:9333959-Cause of Death,
pubmed-meshheading:9333959-Critical Care,
pubmed-meshheading:9333959-Female,
pubmed-meshheading:9333959-Humans,
pubmed-meshheading:9333959-Injury Severity Score,
pubmed-meshheading:9333959-Length of Stay,
pubmed-meshheading:9333959-Male,
pubmed-meshheading:9333959-Middle Aged,
pubmed-meshheading:9333959-Multiple Trauma,
pubmed-meshheading:9333959-Risk Factors,
pubmed-meshheading:9333959-Survival Analysis
|
pubmed:year |
1997
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pubmed:articleTitle |
[Follow-up and prognosis of severe accidental trauma in the aged].
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pubmed:affiliation |
Abteilung für Unfallchirurgie, Universitätsklinik Essen.
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pubmed:publicationType |
Journal Article,
English Abstract
|