Impact of age on the clinical outcomes of major trauma.

作者: F. Hildebrand , H.-C. Pape , K. Horst , H. Andruszkow , P. Kobbe

DOI: 10.1007/S00068-015-0557-1

关键词:

摘要: In view of demographic changes over the past few decades, average age trauma patients is progressively increasing. We therefore aimed to summarize specific characteristics geriatric and identify potential fields for further research improve care elderly patients. Review literature. Due diverse risk factors (e.g., pre-existing conditions, limited physiological reserve), are prone developing severe complications, even after less trauma. Yet, not considered as only predictor worse outcomes, it should be criterion limiting in those It crucial that age-specific treatment guidelines developed optimize outcomes senior Based on current literature, these emphasize importance field triage directly a center, along with activation team. Furthermore, early intensive monitoring, aggressive resuscitation, time surgical intervention upmost reduce mortality. The impact several [age, premedical conditions (PMC), decreased reserves, impaired immune function] post-traumatic course needs clarified future experimental clinical studies identification high-risk development age-adapted therapeutic strategies.

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