Safih M S, Norton R, Rogers I, Gardener J P, Judson J A
Emergency Department, Auckland Hospital.
N Z Med J. 1999 Oct 22;112(1098):402-4.
This study was undertaken to investigate the demographic profile of elderly (65 years old and over) patients with severe trauma admitted to the Intensive Care Unit of Auckland Hospital and to compare their characteristics with those of the younger (under 65 years) trauma patients. A further aim was to see if specific areas of potential injury prevention could be identified.
Data analysis covering ten years, from January 1987 to December 1996, on data extracted from the existing database at the Intensive Care Unit of Auckland Hospital.
The elderly comprised 8.7% (183 of 2092) of the trauma admissions during the study period. The elderly, when compared with the younger group, were significantly more likely to be female, New Zealand European and admitted as a result of a fall. They were significantly less likely to be drivers in a road traffic crash or, if a driver, to have a blood alcohol above the legal limit. Mortality in the older group (27.8%) was significantly higher, though median injury severity score (25) and length of stay (57.9 hours) were similar.
Elderly trauma patients in the Intensive Care Unit are a group with distinctive demographics, mechanisms of injury, injury types and outcomes. This information needs to be considered for the future planning of trauma and prevention services in New Zealand.
本研究旨在调查入住奥克兰医院重症监护病房的老年（65岁及以上）重症创伤患者的人口统计学特征，并将其与年轻（65岁以下）创伤患者的特征进行比较。另一个目的是确定是否可以识别出潜在的伤害预防特定领域。
对1987年1月至1996年12月这十年间从奥克兰医院重症监护病房现有数据库中提取的数据进行分析。
在研究期间，老年患者占创伤入院患者的8.7%（2092例中的183例）。与年轻组相比，老年患者女性、新西兰欧洲裔以及因跌倒入院的可能性显著更高。他们在道路交通事故中作为驾驶员的可能性显著更低，或者如果是驾驶员，血液酒精含量超过法定限量的可能性也更低。老年组的死亡率（27.8%）显著更高，尽管中位损伤严重程度评分（25）和住院时间（57.9小时）相似。
重症监护病房中的老年创伤患者是一个在人口统计学、损伤机制、损伤类型和结局方面具有独特特征的群体。在新西兰未来的创伤和预防服务规划中需要考虑这些信息。
