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Older people and major trauma

Part of: Bespoke shallow archive Weizmann

Published online by Cambridge University Press:  17 September 2009

Elaine Cole ,
Antonia Lynch ,
Jackie Bridges  and
Anita West
Elaine Cole*
Affiliation:
City University London Barts and the London NHS Trust
Antonia Lynch
Affiliation:
City University London Barts and the London NHS Trust
Jackie Bridges
Affiliation:
City University London
Anita West
Affiliation:
Barts and the London NHS Trust
*
Address for correspondence: Elaine Cole, City University, Philpot Street, London E1 2EA. Email: [email protected]
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Summary

Major traumatic injury is a leading cause of death in younger age groups, but increasingly older people are affected also. Adverse outcomes, both physical and psychological, are associated with injury in the older population. This review aims to locate and describe the evidence relating to older people and major trauma in order to inform policy, practice, research and education. The published research and systematic reviews fall into three main topics: mechanism of traumatic injury in older people, the effects of co-morbidities on older trauma patients and outcomes following serious traumatic injury in older people. The psychological impact of traumatic injury and the resulting functional alteration cannot be underestimated in this group of patients.

Keywords

Traumainjuryolder peopleoutcome
Type
Clinical geriatrics
Information
Reviews in Clinical Gerontology , Volume 19 , Issue 2 , May 2009 , pp. 77 - 85
Copyright
Copyright © Cambridge University Press 2009

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References

1National Statistics. UK population set to increase to 65 million over the next ten years. National Statistics 2007; available from: http://www.statistics.gov.uk/pdfdir/pproj1007.pdfGoogle Scholar
2Demetriades, D, Karaiskakis, M, Velmahos, G, Alo, K, Newton, E, Murray, J et al. Effect on outcome of early intensive management of geriatric trauma patients. Br J Surg 2002; 89: 1319–22.CrossRefGoogle ScholarPubMed
3Soreide, K, Kruger, AJ, Vardal, AL, Ellingsen, CL, Soreide, E, Lossius, HM. Epidemiology and contemporary patterns of trauma deaths: changing place, similar pace, older face. World J Surg 2007; 31: 2092–103.CrossRefGoogle ScholarPubMed
4Saunderson, Cohen S.Trauma Nursing Secrets. Philadelphia: Hanley & Belfus Inc, 2002.Google Scholar
5Mays, N, Roberts, E, Popay, J. Synthesising research evidence. In: Fulop, N, Allen, P, Clarke, A, Black, N (eds), Studying the organisation and delivery of health services: research methods. London: Routledge, 2001; pp. 188–220.Google Scholar
6Moher, D, Cook, DJ, Eastwood, S, Olkin, I, Rennie, D, Stroup, DF. Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Rev Esp Salud Publica 2000; 74: 107–18.Google ScholarPubMed
7TARN. Standards for practice. Exclusion criteria. The Trauma, Audit and Research Network Procedures Manual 6. Salford, TARN 2009.Google Scholar
8Arksey, H, O'Malley, L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol 2005; 8: 19–32.CrossRefGoogle Scholar
9RCS & BOA. Better care for the severely injured. London, Royal College of Surgeons and the British Orthopaedic Association, 2007.Google Scholar
10Findlay, G, Martin, IC, Smith, M, Wayman, D, Carter, S, Mason, M. Trauma: Who Cares? A report of the National Confidential Enquiry into Patient Outcome and Death. London, NCEPOD, 2007.Google Scholar
11Ferrera, PC, Bartfield, JM, D'Andrea, CC. Outcomes of admitted geriatric trauma. Am J Emerg Med 2000; 18: 575–80.CrossRefGoogle ScholarPubMed
12Richmond, TS, Thompson, HJ, Kauder, D, Robinson, KM, Strumpf, NE. A feasibility study of methodological issues and short-term outcomes in seriously injured older adults. Am J Critical Care 2006; 15: 158–65.CrossRefGoogle ScholarPubMed
13Eaton, J. Kinetics and mechanisms of injury. In: O'Shea, R (ed), Principles and Practice of Trauma Nursing. Edinburgh: Churchill Livingstone; 2005. p. 15.Google Scholar
14Gowing, R, Jain, MK. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surgery 2007; 50: 437–44.Google ScholarPubMed
15Yeung, JHH, Chang, ALM, Ho, W, So, FL, Graham, CA, Cheng, B et al. High risk trauma in older adults in Hong Kong: A multicentre study. Injury 2008; 39: 1034–41.CrossRefGoogle Scholar
16Scheetz, LJ. Effectiveness of prehospital trauma triage guidelines for the identification of major trauma in elderly motor vehicle crash victims. J Emerg Nurs 2003; 29: 109–15.CrossRefGoogle ScholarPubMed
17Shinoda-Tagawa, T, Clark, DE. Trends in hospitalization after injury: older women are displacing young men. BMJ 2003; 9: 214–9.Google ScholarPubMed
18Golob, Jr JF, Claridge, JA, Yowler, CJ, Como, JJ, Peerless, JR. Isolated cervical spine fractures in the elderly: a deadly injury. J Trauma 2008; 64: 311–5.Google ScholarPubMed
19Kent, A, Pearce, A. Review of morbidity and mortality associated with falls from heights among patients presenting to a major trauma centre. Emerg Med Aust 2006; 18: 23–30.CrossRefGoogle ScholarPubMed
20Laupland, KB, Kortbeek, JB, Findlay, C, Hameed, SM. A population-based assessment of major trauma in a large Canadian region. Am J Surg 2005; 189: 571–6.CrossRefGoogle Scholar
21Nagy, KK, Smith, RF, Roberts, RR, Joseph, KT, Gary, C, An, MD et al. Prognosis of penetrating trauma in elderly patients: a comparison with younger patients. J Trauma 2000; 49: 190–4.CrossRefGoogle ScholarPubMed
22Crandall, M, Luchette, F, Esposito, TJ, West, M, Shapiro, M, Bulger, E. Attempted suicide and the elderly trauma patient: risk factors and outcomes. J Trauma 2007; 62: 1021–8.Google Scholar
23Redelmeier, DA, Naylor, CD, Brenneman, FD, Sharkey, PW, Juurlink, DN. Major trauma in elderly adults receiving lipid-lowering medications. J Trauma 2001; 50: 678–83.CrossRefGoogle ScholarPubMed
24Efron, DT, Sorock, G, Haut, ER, Chang, D, Schneider, E, MacKenzie, E et al. Preinjury statin use is associated with improved in-hospital survival in elderly trauma patients. J Trauma 2008; 64: 66–74.Google ScholarPubMed
25Neideen, T, Lam, M, Brasel, KJ. Preinjury beta blockers are associated with increased mortality in geriatric trauma patients. J Trauma 2008; 65: 1016–20.Google ScholarPubMed
26Grossman, MD, Miller, D, Scaff, DW, Arcona, S. When is an elder old? Effect of preexisting conditions on mortality in geriatric trauma. J Trauma 2002; 52: 242–6.Google ScholarPubMed
27Taylor, MD, Tracy, JK, Meyer, W, Pasquale, M, Napolitano, LM. Trauma in the elderly: intensive care unit resource use and outcome. J Trauma 2002; 53: 407–14.CrossRefGoogle ScholarPubMed
28Jacoby, SF, Ackerson, TH, Richmond, TS. Outcome from serious injury in older adults. J Nurs Schol 2006; 38: 133–40.CrossRefGoogle ScholarPubMed
29Nirula, R, Gentilello, LM. Futility of fesuscitation criteria for the ‘young’ old and the ‘old’ old trauma patient: a national trauma data bank analysis. J Trauma 2004; 57: 37–41.CrossRefGoogle Scholar
30Grossman, M, Scaff, DW, Miller, D, Reed III, J, Hoey, B, Anderson III, HL. Functional outcomes in octogenarian trauma. J Trauma 2003; 55: 26–32.CrossRefGoogle ScholarPubMed
31Mitra, B, Cameron, PA, Gabbe, BJ, Rosenfeld, JV et al. Management and hospital outcome of the severely head injured elderly patient. ANZ J Surg 2008; 78: 588–92.CrossRefGoogle ScholarPubMed
32Hukkelhoven, C, Steyerberg, EW, Rampen, AJJ, Farace, E, Habbema, JDF, Marshall, LF et al. Patient age and outcome following severe traumatic brain injury: an analysis of 5600 patients. J Neurosurg 2003; 99: 666–73.CrossRefGoogle ScholarPubMed
33Gan, BK, Lim, JHG, Ng, IHB. Outcome of moderate and severe traumatic brain injury amongst the elderly in Singapore. Ann Acad Med Singapore 2004; 33: 63–7.CrossRefGoogle ScholarPubMed
34Rogers, FB, Osler, TM, Shackford, SR, Morrow, PL, Sartorelli, KH, Camp, L et al. A population-based study of geriatric trauma in a rural state. J Trauma 2001; 50: 604–11.CrossRefGoogle Scholar
35Meldon, SW, Reilly, M, Drew, BL, Mancuso, C, Fallon, W Jr. Trauma in the very elderly: a community-based study of outcomes at trauma and nontrauma centers. J Trauma 2002; 52: 79–84.Google ScholarPubMed
36Sampalis, JS, Nathanson, R, Vaillancourt, J, Nikolis, A, Liberman, M, Angelopoulos, J et al. Assessment of mortality in older trauma patients sustaining injuries from falls or motor vehicle collisions treated in regional level I trauma centers. Ann Surg 2009; 249: 488–95.CrossRefGoogle ScholarPubMed
37Demetriades, D, Sava, J, Alo, K, Newton, E, Velmahos, GC, Murray, JA et al. Old age as a criterion for trauma team activation. J Trauma 2001; 51: 754–7.CrossRefGoogle ScholarPubMed
38Inaba, K, Goecke, M, Philip Sharkey, MHK, Brenneman, F. Long-term outcomes after injury in the elderly. J Trauma 2003; 54: 486–91.CrossRefGoogle ScholarPubMed
39Richmond, TS, Kauder, D, Strumpf, N, Meredith, T. Characteristics and outcomes of serious traumatic injury in older adults. J Am Geriatr Soc 2002; 50: 215.CrossRefGoogle ScholarPubMed
40Balas, MC, Deutschman, CS, Sullivan-Marx, EM, Strumpf, NE, Alston, RP, Richmond, TS. Delirium in older patients in surgical intensive care units. J Nurs Scholarship 2007; 39: 147–54.CrossRefGoogle ScholarPubMed
41WHO. International Classification of Functioning, Disability and Health (ICF). Geneva, World Health Organization 2009. Available from: http://www.who.int/classifications/icf/en/Google Scholar
42Holbrook, TL, Hoyt, DB, Anderson, JP. The impact of major in-hospital complications on functional outcome and quality of life after trauma. J Trauma 2001; 50: 91–5.CrossRefGoogle ScholarPubMed
43Wilson, JTL, Pettigrew, LEL, Teasdale, GM. Emotional and cognitive consequences of head injury in relation to the Glasgow outcome scale. BMJ 2000; 69: 204–9.Google Scholar