Evaluating risk factors of geriatric trauma mortality by logistic regression; a cross-sectional study in 2011-2016
المؤلفون المشاركون
Yadollahi, Mahnaz
Dashti, Maryam Fadaei
Mahmudi, Asya
Niakan, Muhammad Hadi
المصدر
Iranian Red Crescent Medical Journal
العدد
المجلد 20، العدد 5 (31 مايو/أيار 2018)، ص ص. 1-7، 7ص.
الناشر
تاريخ النشر
2018-05-31
دولة النشر
الإمارات العربية المتحدة
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Background: Trauma is the main cause of death in all age groups, as well as the 7th leading cause of fatality among the elderly.
Compared to the youth, the risk of mortality and length of hospital stay are higher in elderly patients experiencing similar trauma and injury severity.
Objectives: The present study aimed to identify the risk factors for mortality in the elderly.
Methods: This was a cross-sectional study conducted on 65304 trauma patients who were referred to Shahid Rajaee (Emtiaz) Hospital trauma referral center, Shiraz, Iran 2011 - 2016.
Information such as age, gender, injured body region, length of hospital stay, injury severity score (ISS), injury mechanism, nosocomial infection, and mortality was recorded.
Injury severity scores and injured body regions were determined based on a conversion of international classification of diseases, the 10th revision (ICD-10) injury codes to Abbreviated Injury Scale (AIS-98) severity codes using a domestically developed electronic algorithm.
The binary logistic regression was used to determine the partial effects of independent risk factors.
Results: Patients over 60 had a mean age of 70.798.83.
Mortality rates were 4.7% (330) and 1.05% (614) among patients over and under 60, respectively.
The most important risk factors for geriatric mortality included age over 75 [OR = 1.91, 95% CI (1.28 - 2.85)], nosocomial infection [OR = 10.56, 95% CI (6.52 - 17.10)], ISS (16 - 24) [OR = 12.51, 95% CI (7.28 - 21.490)], head injury [OR = 13.17, 95% CI (5.83 - 29.77)], and pedestrian accidents [OR = 1.47, 95% CI (1.47 - 1.95)].
Aging led to increased mortality due to nosocomial infection.
Among the elderly patients, males had a higher mean injury severity score compared to females.
Conclusions: According to our results, mortality rates increased by age in geriatric trauma patients.
With similar severity of injuries, there was a greater risk of mortality for trauma patients with very old age compared to old patients.
Aging, gender (males), nosocomial infection, ISS, and head injury were the most significant predictors of mortality in the elderly.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Yadollahi, Mahnaz& Mahmudi, Asya& Niakan, Muhammad Hadi& Dashti, Maryam Fadaei. 2018. Evaluating risk factors of geriatric trauma mortality by logistic regression; a cross-sectional study in 2011-2016. Iranian Red Crescent Medical Journal،Vol. 20, no. 5, pp.1-7.
https://search.emarefa.net/detail/BIM-911962
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Yadollahi, Mahnaz…[et al.]. Evaluating risk factors of geriatric trauma mortality by logistic regression; a cross-sectional study in 2011-2016. Iranian Red Crescent Medical Journal Vol. 20, no. 5 (May. 2018), pp.1-7.
https://search.emarefa.net/detail/BIM-911962
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Yadollahi, Mahnaz& Mahmudi, Asya& Niakan, Muhammad Hadi& Dashti, Maryam Fadaei. Evaluating risk factors of geriatric trauma mortality by logistic regression; a cross-sectional study in 2011-2016. Iranian Red Crescent Medical Journal. 2018. Vol. 20, no. 5, pp.1-7.
https://search.emarefa.net/detail/BIM-911962
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p.6-7
رقم السجل
BIM-911962
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر