Type of underlying fracture after the surgical treatment of geriatric trauma patients has no effect on mortality during intensive care treatment

摘要

Aim Due to demographic change, the number of geriatric patients is still rising. Although hip fractures are the subject of current research, little is known about the remaining geriatric trauma entities. The aim of this study was to collect data of the age‐related traumatological intensive care unit (ICU) population, its underlying diagnosis, and the influence on mortality and length of stay in the ICU. Methods Geriatric trauma patients (aged ≥65?years) treated postoperatively in our surgical ICU were included in this retrospective observational study covering the period 2013–2017. In addition to the underlying fracture entities, patient characteristics, such as age, sex, Charlson Comorbidity Index, length of stay and mortality, were collected to identify possible independent predictive factors for mortality in the ICU using multivariate analysis. Results During the observation period, 805 (60.5) patients met the inclusion criteria. 47.6 of the patients suffered from a proximal femoral fracture. The total mortality rate during the stay in the ICU was 7.5. Significant predictive factors for mortality in the ICU were Charlson Comorbidity Index (P?