Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study
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...
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| Veröffentlicht in: | General thoracic and cardiovascular surgery 2021-03, Vol.69 (3), p.504-510 |
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| creator | Özdemir, Servet Köse, Selçuk |
| description | 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. |
| doi_str_mv | 10.1007/s11748-020-01507-y |
| format | Article |
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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.</description><identifier>ISSN: 1863-6705</identifier><identifier>EISSN: 1863-6713</identifier><identifier>DOI: 10.1007/s11748-020-01507-y</identifier><identifier>PMID: 33057969</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Accidents, Traffic ; Age ; Aged ; Assaults ; Cardiac Surgery ; Cardiology ; Comorbidity ; Correlation analysis ; Disease ; Emergency medical care ; Follow-Up Studies ; Fractures ; Geriatrics ; Hospitals ; Humans ; Infant ; Male ; Medical imaging ; Medicine ; Medicine & Public Health ; Mortality ; Multiple Trauma ; Older people ; Original Article ; Patients ; Surgeons ; Surgical Oncology ; Thoracic Injuries ; Thoracic Surgery ; Thorax ; Traffic accidents & safety ; Trauma ; Turkey - epidemiology</subject><ispartof>General thoracic and cardiovascular surgery, 2021-03, Vol.69 (3), p.504-510</ispartof><rights>The Japanese Association for Thoracic Surgery 2020</rights><rights>The Japanese Association for Thoracic Surgery 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c350t-a60675259e27d8a9c9e65a07e69ce7150f20b341e98887f212822bf3a122ab343</cites><orcidid>0000-0002-8458-0772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11748-020-01507-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918740575?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33057969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Özdemir, Servet</creatorcontrib><creatorcontrib>Köse, Selçuk</creatorcontrib><title>Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study</title><title>General thoracic and cardiovascular surgery</title><addtitle>Gen Thorac Cardiovasc Surg</addtitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><description>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.</description><subject>Accidents, Traffic</subject><subject>Age</subject><subject>Aged</subject><subject>Assaults</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Comorbidity</subject><subject>Correlation analysis</subject><subject>Disease</subject><subject>Emergency medical care</subject><subject>Follow-Up Studies</subject><subject>Fractures</subject><subject>Geriatrics</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Multiple Trauma</subject><subject>Older people</subject><subject>Original Article</subject><subject>Patients</subject><subject>Surgeons</subject><subject>Surgical Oncology</subject><subject>Thoracic Injuries</subject><subject>Thoracic Surgery</subject><subject>Thorax</subject><subject>Traffic accidents & safety</subject><subject>Trauma</subject><subject>Turkey - epidemiology</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kMtKxDAUhoMoOo6-gAsJuHETzaW51J0M3kBwM7oNmU7qVNum5oL07Y3OqODC1Qmc7_zn5APgiOAzgrE8D4TIQiFMMcKEY4nGLTAhSjAkJGHbP2_M98B-CC8Yc6EI3wV7jGEuS1FOwNN85bypmgpGb1JnoOmXsHM-mraJI2x6-Gx9Y6LPxDz51yas4OCG1JrYuP4CCtS5Pq5g7drWvaM0wBDTcjwAO7Vpgz3c1Cl4vL6az27R_cPN3ezyHlWM44iMwEJyyktL5VKZsiqt4AZLK8rKyvynmuIFK4gtlVKypoQqShc1M4RSkxtsCk7XuYN3b8mGqLsmVLZtTW9dCpoWnCheUC4yevIHfXHJ9_k6TUuiZJGV8EzRNVV5F4K3tR580xk_aoL1p3W9tq6zdf1lXY956HgTnRadXf6MfGvOAFsDIbf6bPR39z-xHxMpjKE</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Özdemir, Servet</creator><creator>Köse, Selçuk</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8458-0772</orcidid></search><sort><creationdate>20210301</creationdate><title>Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study</title><author>Özdemir, Servet ; Köse, Selçuk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c350t-a60675259e27d8a9c9e65a07e69ce7150f20b341e98887f212822bf3a122ab343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accidents, Traffic</topic><topic>Age</topic><topic>Aged</topic><topic>Assaults</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Comorbidity</topic><topic>Correlation analysis</topic><topic>Disease</topic><topic>Emergency medical care</topic><topic>Follow-Up Studies</topic><topic>Fractures</topic><topic>Geriatrics</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Multiple Trauma</topic><topic>Older people</topic><topic>Original Article</topic><topic>Patients</topic><topic>Surgeons</topic><topic>Surgical Oncology</topic><topic>Thoracic Injuries</topic><topic>Thoracic Surgery</topic><topic>Thorax</topic><topic>Traffic accidents & safety</topic><topic>Trauma</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Özdemir, Servet</creatorcontrib><creatorcontrib>Köse, Selçuk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Özdemir, Servet</au><au>Köse, Selçuk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>69</volume><issue>3</issue><spage>504</spage><epage>510</epage><pages>504-510</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><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.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>33057969</pmid><doi>10.1007/s11748-020-01507-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8458-0772</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1863-6705 |
| ispartof | General thoracic and cardiovascular surgery, 2021-03, Vol.69 (3), p.504-510 |
| issn | 1863-6705 1863-6713 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals; ProQuest Central |
| subjects | Accidents, Traffic Age Aged Assaults Cardiac Surgery Cardiology Comorbidity Correlation analysis Disease Emergency medical care Follow-Up Studies Fractures Geriatrics Hospitals Humans Infant Male Medical imaging Medicine Medicine & Public Health Mortality Multiple Trauma Older people Original Article Patients Surgeons Surgical Oncology Thoracic Injuries Thoracic Surgery Thorax Traffic accidents & safety Trauma Turkey - epidemiology |
| title | Thoracic trauma and mortality in geriatric Turkish population: 6-month follow-up study |
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