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European Journal of Trauma and Emergency Surgery

Published in:

01-06-2016 | Review Article

Impact of age on the clinical outcomes of major trauma

Authors: F. Hildebrand, H.-C. Pape, K. Horst, H. Andruszkow, P. Kobbe, T.-P. Simon, G. Marx, T. Schürholz

Published in: European Journal of Trauma and Emergency Surgery | Issue 3/2016

Abstract

Purpose

In view of demographic changes over the past few decades, the average age of trauma patients is progressively increasing. We therefore aimed to summarize the specific characteristics of geriatric trauma and to identify potential fields for further research to improve the care of elderly trauma patients.

Methods

Review of the literature.

Results

Due to the diverse risk factors (e.g., pre-existing conditions, limited physiological reserve), geriatric patients are prone to developing severe complications, even after less severe trauma. Yet, age is not considered as the only predictor of worse outcomes, and it should not be considered the only criterion for limiting care in those patients. It is crucial that age-specific treatment guidelines are developed to optimize the outcomes for senior trauma patients. Based on the current literature, these guidelines should emphasize the importance of field triage directly to a trauma center, along with the activation of the trauma team. Furthermore, early intensive monitoring, aggressive resuscitation, and time of surgical intervention are of upmost importance to reduce mortality.

Conclusion

The impact of several factors [age, premedical conditions (PMC), decreased physiological reserves, and impaired immune function] on the post-traumatic course of elderly trauma patients needs to be clarified in future experimental and clinical studies for the early identification of geriatric high-risk patients and for the development of age-adapted therapeutic strategies.

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Title: Impact of age on the clinical outcomes of major trauma
Authors: F. Hildebrand
H.-C. Pape
K. Horst
H. Andruszkow
P. Kobbe
T.-P. Simon
G. Marx
T. Schürholz
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: European Journal of Trauma and Emergency Surgery / Issue 3/2016
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-015-0557-1

At a glance: The STEP trials

Springer Medicine

Impact of age on the clinical outcomes of major trauma

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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