Mortality Rate and its Determinants in Traumatized Elderly in Patients of karaj Shahid Madani Hospital

摘要

Background: Trauma is the leading cause of mortality and its unfavorable outcomes. This study was conducted to assess the mortality rate of trauma and its related factors among the patients traumatized elderly in patients of karaj shahid Madani hospital. Methods: We conducted a retrospective analysis of 240 aged traumatic patients from the shahid Madani training hospital, Alborz University of Medical Sciences, Karaj, Iran, from 2015 to 2018. Date were collected by Emergency Medical Doctor by a questionaire. Data was analyzed be SPSS. Results: In total, 240 elderly patients with trauma were included in the study. The average age of patients was 76.04 ± 7.46 years. Seventy-seven percent of the patients had at least one co morbid condition. Majority of the falls occurred at home. More than half of the patients fell from ground level. Overall, the in-hospital mortality rate was 16 %. Multiple organs failure constituted the most common injury sustained in patients who died (77 %). D iscussion: The geriatric patient is often defined as a "frail elderly", for the presence of a greater “injury sensitivity". This is due to the simultaneous presence of co morbidity, progressive loss of full autonomy and exposure to a high risk of traumatic events. Optimal management of the trauma patient can considerable reduce mortality and morbidity. Conclusions: Although there is a downward trend in mortality in elderly patients with complex pelvic fractures, hemodynamic instability still has a significant impact on survival of those patients.