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Trauma in elderly patients evaluated in a hospital emergency department in Konya, Turkey: a retrospective study.
Kara, Hasan; Bayir, Aysegul; Ak, Ahmet; Akinci, Murat; Tufekci, Necmettin; Degirmenci, Selim; Azap, Melih.
Afiliación
  • Kara H; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Bayir A; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Ak A; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Akinci M; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Tufekci N; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Degirmenci S; Department of Emergency Medicine, Selçuk University, Konya, Turkey.
  • Azap M; Department of Emergency Medicine, Konya Numune Hospital, Konya, Turkey.
Clin Interv Aging ; 9: 17-21, 2014.
Article en En | MEDLINE | ID: mdl-24376346
ABSTRACT

PURPOSE:

Trauma is a common cause of admission to the hospital emergency department. The purpose of this study was to evaluate the cause of admission, clinical characteristics, and outcomes of patients aged ≥65 years admitted to an emergency department in Turkey because of blunt trauma. MATERIALS AND

METHODS:

Medical records were retrospectively reviewed for 568 patients (314 women and 254 men) aged ≥65 years who were admitted to an emergency department of a tertiary care hospital.

RESULTS:

Trauma was caused by low-energy fall in 379 patients (67%), traffic accident in 79 patients (14%), high-energy fall in 69 patients (12%), and other causes in 41 patients (7%). The most frequent sites of injury were the lower extremity, thorax, upper extremity, and head. The femur was the most frequent fracture site. After evaluation in the emergency department, 377 patients (66%) were hospitalized. There were 31 patients (5%) who died. Risk of hospitalization after trauma was significantly associated with trauma to the lower extremity, thorax, and spine; fractures of the femur and rib; and intracranial injury.

CONCLUSION:

Emergency department admission after trauma in patients aged ≥65 years is common after low-energy falls, and most injuries occur to the extremities. It is important to focus on prevention of falls to decrease the frequency of trauma in the elderly.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Servicio de Urgencia en Hospital Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2014 Tipo del documento: Article País de afiliación: Turquía

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Servicio de Urgencia en Hospital Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male País/Región como asunto: Asia Idioma: En Revista: Clin Interv Aging Asunto de la revista: GERIATRIA Año: 2014 Tipo del documento: Article País de afiliación: Turquía