Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study
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ORIGINAL ARTICLE
Thoracic trauma and mortality in geriatric Turkish population: 6‑month follow‑up study Servet Özdemir1 · Selçuk Köse1 Received: 16 June 2020 / Accepted: 29 September 2020 © The Japanese Association for Thoracic Surgery 2020
Abstract Aim The aim of this study was to evaluate survival rates in elderly individuals who have undergone thoracic trauma and to investigate the risk of mortality for 6 months. Method In this study, the mortality rate was evaluated in 400 thorax trauma cases referred to thoracic surgery, between 65 and 101 years of age. Six-month survival rates in discharged cases of thoracic trauma were examined by using Turkey’s Health Ministry Death Notification System. Results It was found that thoracic traumas evaluated in the study were due to 314 (78.5%) falls and 51 (12.8%) exterior vehicle traffic accident. It was found that the presence of hemopneumothorax (OR 5.82; 95% CI 1.31–25.98; p = 0.021), and the presence of multiple trauma (OR 16.49; 95% CI 3.13–86.91; p = 0.001) had statistically significant effects on the mortality risk from the moment of the event to the emergency treatment period. In addition, it was found that age (OR 1.06; 95% CI 1.01–1.11; p = 0.011), male gender (OR 2.55; 95% CI 1.15–5.68; p = 0.022), and the presence of comorbidities (OR 3.07; 95% CI 1.29–7.31; p = 0.011) statistically significantly increased mortality during the six months after trauma. Conclusion It should be kept in mind that the presence of multiple trauma and the presence of hemopneumothorax increase the risk of death in elderly thoracic trauma cases consulted for thoracic surgery. Keywords Thoracic trauma · Mortality · Geriatric population · Hemopneumothorax
Introduction It has been reported that 20% of trauma cases consist of geriatric cases and approximately one-fourth of these cases have a serious risk of death [1, 2]. It is reported that traumas due to falls, motor vehicle accidents, burns, and assaults among the elderly are common [3]. Elders are those with high mortality after trauma. Besides, it is known that thoracic trauma is common for these individuals, and a significant part of the death observed, especially in elderly patients due to fall include thoracic trauma [4]. The respiratory system is more vulnerable in elderly thoracic traumas and changes that occur as a result of aging in these people increase the risk of mortality significantly. * Servet Özdemir [email protected] 1
Thoracic Surgery Department, Sağlık Bilimleri Üniversitesi Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mah, Dr. Tevfik Sağlam Cd No: 11, Bakırköy/ İstanbul 34147, Turkey
For example, being more fragile due to the deterioration of bone tissue, weakening of the immune system, and the presence of comorbid diseases in these people are considered among the important factors that increase the risk of mortality in people with thoracic trauma. In blunt thoracic traumas, injuries related to sternum fractures and/or pulmonary contusion, especially rib fractures, can be s
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