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Efficacy of the Treatment of Elderly Trauma Patients Requiring Intensive Care
Joint Authors
Oshima, Kiyohiro
Murata, Masato
Aoki, Makoto
Nakajima, Jun
Sawada, Yusuke
Isshiki, Yuta
Ichikawa, Yumi
Hagiwara, Shuichi
Fukushima, Kazunori
Hinohara, Hiroshi
Source
Emergency Medicine International
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-12-30
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Purpose.
To evaluate the effectiveness of intensive care for the elderly trauma patients aged 80 years and older.
Methods.
Trauma patients admitted to the intensive care unit (ICU) through the emergency room (ER) at our hospital between January 2013 and December 2016 were analyzed.
Patients were divided into two groups: patients aged 80 and older (group E) and <80 years old (group Y).
Clinical courses and the total treatment costs were compared between the two groups.
Data are shown as median (interquartile range).
Results.
A hundred and seven trauma patients were included in the study.
There were 26 patients in group E and 81 patients in group Y.
There was no significant difference in Injury Severity Score (ISS) (group E, 19 (13, 32); group Y, 17 (14, 25); p=0.708); however, the probability of survival (Ps) was significantly lower in group E (group E, 0.895 (0.757, 0.950); group Y, 0.955 (0.878, 0.986); p=0.004).
The duration of ICU stay (days) was significantly longer in group E (10 (5, 23)) than in group Y (4 (3, 9); p=0.001), and the total hospital stay (days) was longer in group E (33 (13, 57)) than in group Y (22 (12, 42); p=0.179).
The hospital mortality was higher in group E (11.5%) than in group Y (6.2%) without a significant difference (p=0.365).
The total treatment costs were significantly higher in group E ($23,558 (12,456, 42,790) with $1 = ¥110.57) than in group Y ($16,538 (7,412, 25,422); p=0.023).
Conclusions.
Elderly trauma patients require longer-term treatment including ICU stay and greater cost with higher hospital mortality compared with young trauma patients.
American Psychological Association (APA)
Oshima, Kiyohiro& Murata, Masato& Aoki, Makoto& Nakajima, Jun& Sawada, Yusuke& Isshiki, Yuta…[et al.]. 2018. Efficacy of the Treatment of Elderly Trauma Patients Requiring Intensive Care. Emergency Medicine International،Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1157047
Modern Language Association (MLA)
Oshima, Kiyohiro…[et al.]. Efficacy of the Treatment of Elderly Trauma Patients Requiring Intensive Care. Emergency Medicine International No. 2018 (2018), pp.1-6.
https://search.emarefa.net/detail/BIM-1157047
American Medical Association (AMA)
Oshima, Kiyohiro& Murata, Masato& Aoki, Makoto& Nakajima, Jun& Sawada, Yusuke& Isshiki, Yuta…[et al.]. Efficacy of the Treatment of Elderly Trauma Patients Requiring Intensive Care. Emergency Medicine International. 2018. Vol. 2018, no. 2018, pp.1-6.
https://search.emarefa.net/detail/BIM-1157047
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1157047