Champion H R, Copes W S, Buyer D, Flanagan M E, Bain L, Sacco W J
Washington Hospital Center, Washington, DC 20010.
Am J Public Health. 1989 Sep;79(9):1278-82. doi: 10.2105/ajph.79.9.1278.
Contemporary trauma to the elderly, its severity and associated mortality and morbidity in 111 United States and Canadian trauma centers are described. Three-thousand eight-hundred thirty-three (3,833) trauma patients age 65 years or older are compared to 42,944 injured patients under age 65. Although both groups had equivalent measures of injury severity, the older group had higher case fatality and complication rates and longer hospital stays. The results raise important questions regarding the triage, acute care, accurate prediction of outcome, and hospital reimbursement for the elderly injured patient, with implications for care evaluation, quality assurance, and the long-term viability of trauma centers and systems of care.
本文描述了美国和加拿大111家创伤中心收治的老年患者的当代创伤情况、其严重程度以及相关的死亡率和发病率。将3833名65岁及以上的创伤患者与42944名65岁以下的受伤患者进行了比较。尽管两组的损伤严重程度指标相当，但老年组的病死率和并发症发生率更高，住院时间更长。这些结果引发了关于老年创伤患者的分诊、急性护理、结局准确预测以及医院费用报销等重要问题，对护理评估、质量保证以及创伤中心和护理系统的长期生存能力具有启示意义。
