Wutzler S, Lefering R, Laurer H L, Walcher F, Wyen H, Marzi I
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikum der Johann-Wolfgang-Goethe-Universität, Theodor Stern Kai 7, 60596 Frankfurt am Main.
Unfallchirurg. 2008 Aug;111(8):592-8. doi: 10.1007/s00113-008-1448-2.
The increasing average age in the industrialized nations is leading to an increasing number of elderly traumatized patients. Against this background, an analysis of the age-specific characteristics of geriatric traumatized patients is necessary. In this study, 14,869 patients > or = 18 years were analysed, who were prospectively documented in the registry of the German Trauma Society (DGU) between 1996 and 2005. Patients between 18 and 59 years were defined as the control group; their proportion declined from 81.1% in 1996-2000 to 75.4% in 2001-2005. The average age rose from 41.0 years (1996) to 45.3 years (2005). With increasing age a significant increase in severe head injuries of up to 58.9% (> or = 80 years) could be observed. Older patients stayed for a significantly shorter time in hospital and on the ICU. With a comparable injury severity, the lethality after trauma increased with age (18-59 years 13.8%, 60-69 years 24.1%, 70-79 years 35.5%, > or = 80 years 43.6%). The multiply traumatized geriatric patient is different from the normal group in regard to type of injury, therapy and outcome and should therefore be treated taking this fact into consideration.
工业化国家平均年龄的不断增长导致老年创伤患者数量日益增加。在此背景下，有必要对老年创伤患者的年龄特异性特征进行分析。本研究分析了1996年至2005年间前瞻性记录在德国创伤学会（DGU）登记处的14869例年龄≥18岁的患者。18至59岁的患者被定义为对照组；其比例从1996 - 2000年的81.1%降至2001 - 2005年的75.4%。平均年龄从41.0岁（1996年）升至45.3岁（2005年）。随着年龄增长，可观察到严重颅脑损伤显著增加，高达58.9%（≥80岁）。老年患者在医院和重症监护病房的停留时间明显较短。在损伤严重程度相当的情况下，创伤后的致死率随年龄增长而增加（18 - 59岁为13.8%，60 - 69岁为24.1%，70 - 79岁为35.5%，≥80岁为43.6%）。多发伤老年患者在损伤类型、治疗和预后方面与正常组不同，因此在治疗时应考虑这一事实。
