Campbell James W, Degolia Peter A, Fallon William F, Rader Erin L
Case School of Medicine, Case Western Reserve University, and MetroHealth Medical Center, Cleveland, OH, USA.
Geriatrics. 2009 Jan;64(1):8-13.
This century will bring an explosion in the geriatric population aged 65 and older, with those over 80 the fastest growing group. Falls, vehicle collisions, burns, and abuse are traumatic events that our geriatric patients may be susceptible to and from which they may not recover. Primary care providers should enhance their understanding of the complex issues of geriatric trauma to facilitate prevention and to assist the patient's recovery to normal function, addressing barriers such as immobility, pain, malnutrition, and acute confusion. Improved outcomes require combined efforts of disciplines and specialties intervening for optimal management for older trauma patients from pre-hospital care through rehabilitation or end-of-life issues.
本世纪将迎来65岁及以上老年人口的激增,其中80岁以上人群是增长最快的群体。跌倒、车辆碰撞、烧伤和虐待都是创伤性事件,老年患者可能易受其影响且可能无法从中恢复。初级保健提供者应加强对老年创伤复杂问题的理解,以促进预防工作,并协助患者恢复正常功能,解决诸如行动不便、疼痛、营养不良和急性意识混乱等障碍。改善治疗效果需要各学科和专业的共同努力,对老年创伤患者从院前护理到康复或临终问题进行最佳管理的干预。