Emergency Department, Southmead Hospital, Bristol, UK
Emergency Department, Southmead Hospital, Bristol, UK.
Emerg Med J. 2022 Apr;39(4):331-336. doi: 10.1136/emermed-2020-211002. Epub 2021 Aug 3.
Spinal fractures are the third most common traumatic injury in older people, of which cervical spine injuries make up around 15%. They are predominantly seen in people living with frailty who fall from standing height. Spinal fractures in this patient group are associated with substantial morbidity and mortality (over 40% at 1 year). For many older people who survive, their injuries will be life changing. Practice between EDs varies significantly, with no universally accepted guidelines on either assessment, investigation or management specific to older people experiencing trauma. This expert practice review examines the current evidence and emergency management options in this patient group through clinical scenarios, with the aim of providing a more unified approach to management.
脊柱骨折是老年人中第三常见的外伤性损伤，其中约 15%为颈椎损伤。这些损伤主要发生在从站立高度摔倒的虚弱人群中。在这个患者群体中，脊柱骨折与较高的发病率和死亡率相关（1 年内超过 40%）。对于许多幸存下来的老年人来说，他们的受伤会改变他们的生活。急诊科之间的实践差异很大，对于经历创伤的老年人，没有关于评估、检查或管理的普遍接受的指南。本专家实践综述通过临床情况检查了该患者群体的当前证据和紧急管理选择，旨在为管理提供更统一的方法。
