Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results
2007 | 79 | 2 | 106-112

Article title

Trauma in the Aged


Title variants

Languages of publication



After accidents, elderly patients (aged 75 years and older) have been demonstrated to have increased mortality rates after trauma, however, the prognosis of those patients surviving their hospitalization is unknown. We hypothesized that surviving elderly patients would also have decreased functional outcomes.The aim of the study. This study examined the outcome of elderly patients exposed to varying trauma relative to all trauma patients.Material and methods. This was a retrospective study of 5046 patients with trauma in 2001-2005 treated. 972 of these patients were aged 75 or more. Data included demographics, risks factors, cause of trauma, operative or conservative management and result of treatment.Results. Mechanisms of injury were falls (almost 90%), motor vehicle collisions (8%) and other. Statistical differences in the mechanisms of trauma between the studied and younger groups were observed. The mortality rate was doubled in the older group. Almost 2/3 of the patients underwent surgery. The strategy of management and treatment of elderly trauma patients has not been studied in the literature. This group may require special management and monitoring, and if possible, noninvasive modes of treatment. There are big advantages by aggressive, operative treatment of oldest patients, but is the "thin red line" in profits and loss in this group.Conclusions. In our opinion, it is necessity to operate on all elderly patients in good overall condition who were mobile and of good mental status prior to the accident, status, but we do not recommend operations in low-risk patients or those with bad prognosis for successful rehabilitation.








Physical description


1 - 2 - 2007
24 - 9 - 2007


  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Chair of General Surgery Collegium, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow
  • Department of Emergency Medicine and Multiple Injuries, Medicum Jagiellonian University, Cracow


  • Grodzicki T, Gryglewska B, Dubiel J: Kardiologia u osób w wieku podeszłym. Medical Press, Gdańsk 2003; 36-41.
  • Kąkol M, Zdrojewski K, Koziak-Kąkol K i wsp.: Rozpowszechnienie, świadomość oraz skuteczność leczenia nadciśnienia tętniczego u ludzi starszych w Polsce. Gerontologia Pol 1999; 2: 23-29.
  • Brown CVR, Neville AL, Rhee P et al.: The impact of obesity on the outcomes of 1153 critically injured blunt trauma patients. J Trauma 2005; 59(5): 1048-51.[Crossref]
  • Moreau AR, Westfall PH, Cancio LC et al.: Development and validation of an age - risk score for mortality predication after thermal injury. J Trauma 2005; 58(5): 967-72.[Crossref]
  • Demarest GB, Mattox KL: Trauma in the aged, in: Surgical Care for the elderly (Adkins R.B., Scott H.W. - red.), Baltimore, USA, 1988.
  • Zak M, Gryglewska B: Upadki pacjentów geriatrycznych z nadciśnieniem tętniczym - ocena ryzyka dokonywana po roku od upadku. Nadciśnienie tętnicze 2005; 9(2): 112-17.
  • Bergeron E, Clement J, Lavoie A et al.: A simple fall in the elderly: not so simple. J Trauma 2006; 60(2): 268-73.[Crossref][PubMed]
  • Baum SA, Rubenstein LZ: Old people in the emergency room: age related differences in emergency department use and care. J AM Geriatr Soc 1987; 35: 398-405.[PubMed]
  • Brignole M, Albion P, Benditt D: Guidelines on management (diagnosis and treatment) of syncope. Eur Heart J 2001; 22: 1256-1306.[Crossref][PubMed]
  • Kenny RA: Syncope in the Elderly: Diagnosis, Evaluation, and Treatment. J. Cardiovasc Electrophysiol 2003; 14(suppl.): S74-S77.
  • Hui T, Avital I, Soukiasian H et al.: Intensive care unit outcome of vehicle related injury in elderly trauma patients. Am Surg 2002; 68(12): 1111-14.[PubMed]
  • Trybus M, Guzik P, Lorkowski J: Obrażenia rąk u osób starszych. Przegl Lek 2004; 61(12): 1356-59.
  • Shinoda-Tagawa T, Clark DE: Trends in hospitalization after injury: older women are displacing young men. Injury Prevention 2003; 9(3): 214-19.[Crossref]
  • Demetriades D, Karaiskakis M, Velmahos G et al.: Effect on outcome early intensive management of geriatric trauma patients. Brit Journ Surg 2002; 89 (10): 1319-22.
  • Koval KJ, Meek R, Schemitsch E et al.: Geriatric trauma: young ideas. JBJS 2003; 85-A(7): 1380-88.
  • Holcomb JB, McMullin NR, Kozar RA et al.: Morbidity from rib fractures increases after age 45. JACS 2003; 196: 549-55.
  • Stawicki SP, Grossman MD, Hoey BA et al.: Rib fractures in the elderly: a marker of inujury severity. J AmGeroatri Soc 2004; 52: 805-08.
  • Kirsch MJ, Vrabec GA, Marley RA et al.: Preinjury warfarin and geriatric orthopedic trauma patients: a case-matched study. J Trauma 2004;57(6): 1230-33.[Crossref][PubMed]
  • Kennedy DM, Cipolle MD, Pasquale MD et al.: Impact of preinjury warfarin use in elderly trauma patients. J Trauma 2000; 48: 451-53.[Crossref][PubMed]
  • Wojcik R, Cipolle MD, Seislove E et al.: Preinjury warfarin does not impact outcome in trauma patients. J Trauma 2001; 51: 1147-52.[Crossref][PubMed]
  • Ohm Ch, Mina A, Howells G et al.: Effects of antiplatelet agents on outcomes for elderly patients with traumatic intracranial hemorrhage. J Trauma 2005;58(3): 518-22.[Crossref]
  • Franko J, Kish KJ, O'Connell BG et al.: Advanced age and preinjury warfarin anticoagulation inrease the risk of mortality after head trauma. J Trauma 2006; 61(1): 107-10.[Crossref]
  • Johnston CJ, Rubenfeld GD, Hudson LD: Effect of age on the development of ARDS in trauma patients. Chest 2003; 124(2): 653-59.[PubMed][Crossref]
  • Bakhos Ch, O'Connor J, Kyriakides T et al.: Vital capacity as a predictor pf outcome in elderly patients with rib fractures. J Trauma 2006; 61(1): 131-34.[Crossref]
  • Chen WCh, Yu SW, Tseng ICh et al.: Treatment of undisplaced femoral neck fractures in the elderly. J Trauma 2005; 58(5): 1035-39.[Crossref][PubMed]
  • Zak M Skalska A: Szybkość chodu starszych pacjentów objętych programami rehabilitacji po zabiegach ortopedycznych w obrębie stawu biodrowego. Ortopedia Traumatologia Rehabilitacja 2005; 7(5): 543-48.
  • Eachempati SR, Hydo L, Shou J et al.: Sex differences in creation of do not resuscitate orders for crirtically ill elderly patients following emergency surgery. J Trauma 2006; 60(1): 193-98.[Crossref]
  • Tashjian RZ, Majercik S, Biffl WL et al.: Halo-Vest immobilization increases morbidity and mortality in elderly odontoid fractures. J Trauma 2006; 60(1): 199-203.[PubMed][Crossref]
  • Falon WF, Rader E, Zyzanski S et al.: Geriatric outcomes are improved by a geriatic trauma consultation service. J Trauma 2006; 61(5): 1040-46.[Crossref]
  • Witkowski Z, Lasek J, Kawecka A i wsp.: Aspekty epidemiologiczne i kliniczne obrażeń ciała w wieku podeszłym. 5. Wielkopolskie Sympozjum Chirurgii Urazowej. Poznań 2006 (niepublik.)

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.