Role of trauma team activation in poor outcomes of elderly patients

摘要: Abstract Introduction Elderly trauma patients suffer worse outcomes than younger patients. Trauma team activation (TTA) improves in It is unclear whether decreased TTA effectiveness or under-activation elderly could contribute to their poor outcomes. Material and methods This retrospective registry study examined all adult admitted a level 1 center over 2 y. Analyses tested (1) age modifies the effect of on outcomes, (2) with severe injury were less likely receive patients, (3) which early variables associated among who did not TTA. Results The included 10,033 adjusted relative risk from for ages was 0.48 (95% confidence interval (CI) = 0.34–0.68, P value, 0.171). odds ratio young 0.49 CI 0.26–0.91,  = 0.024) 0.80 0.53–1.20,  = 0.282). lack old 1.37 1.12–1.69,  = 0.003). strongest associations seen low heart rate, minimum blood pressure, high severity score, Glasgow coma score. Conclusions Lack patients' Clinicians should be reassured by normal rates wary even transiently lower pressures elderly. A large cohort needed identify additional benefit