The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation
Elderly patients are an increasingly larger group of injured trauma care patients. Comorbidities influence outcome. Little is known of short- and long-term mortality in the elderly who survive initial resuscitation. Short- and long-term mortality was retrospectively analyzed in 363 consecutively inj...
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| Veröffentlicht in: | The American journal of surgery 2003-02, Vol.185 (2), p.131-134 |
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| container_title | The American journal of surgery |
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| creator | Gallagher, Scott F Williams, Brian Gomez, Cathie DesJardins, Christine Swan, Sherry Durham, Rodney M Flint, Lewis M |
| description | Elderly patients are an increasingly larger group of injured trauma care patients. Comorbidities influence outcome. Little is known of short- and long-term mortality in the elderly who survive initial resuscitation.
Short- and long-term mortality was retrospectively analyzed in 363 consecutively injured patients (Injury severity score >15) surviving more than 3 days after admission to a level 1 trauma center (including 197 patients >60 years). Cardiac morbidity was the focus.
Survival to hospital discharge was similar comparing older patients with the entire group. Mortality increased incrementally with age. In older patients, cardiac morbidity was observed in 28% (fatal in 7); 2-year mortality was 36% (older group) and 60% (patients sustaining cardiac complications). Most elderly (80%) were discharged to long-term care.
Elderly who survive initial resuscitation are as likely to survive to discharge as younger patients, but long-term survival is significantly lower as age increases. Cardiac morbidity is associated with higher long-term mortality. Most elderly are discharged to long-term care. |
| doi_str_mv | 10.1016/S0002-9610(02)01208-4 |
| format | Article |
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Short- and long-term mortality was retrospectively analyzed in 363 consecutively injured patients (Injury severity score >15) surviving more than 3 days after admission to a level 1 trauma center (including 197 patients >60 years). Cardiac morbidity was the focus.
Survival to hospital discharge was similar comparing older patients with the entire group. Mortality increased incrementally with age. In older patients, cardiac morbidity was observed in 28% (fatal in 7); 2-year mortality was 36% (older group) and 60% (patients sustaining cardiac complications). Most elderly (80%) were discharged to long-term care.
Elderly who survive initial resuscitation are as likely to survive to discharge as younger patients, but long-term survival is significantly lower as age increases. Cardiac morbidity is associated with higher long-term mortality. Most elderly are discharged to long-term care.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(02)01208-4</identifier><identifier>PMID: 12559442</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Cardiac ; Cause of Death ; Drug therapy ; Elderly ; Heart attacks ; Heart Diseases - mortality ; Hospitals ; Humans ; Long-Term Care ; Medical sciences ; Middle Aged ; Miscellaneous ; Morbidity ; Mortality ; Older people ; Outcomes ; Patient Discharge ; Patients ; Resuscitation - mortality ; Retrospective Studies ; Survival Analysis ; Trauma ; Trauma Severity Indices ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Wounds and Injuries - mortality</subject><ispartof>The American journal of surgery, 2003-02, Vol.185 (2), p.131-134</ispartof><rights>2003 Excerpta Medica Inc.</rights><rights>2003 INIST-CNRS</rights><rights>Copyright Elsevier Limited Feb 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c447t-5534a507aa7da552e916a57469221d11e3dd51b3417a5dc4ae2fe21d4261142e3</citedby><cites>FETCH-LOGICAL-c447t-5534a507aa7da552e916a57469221d11e3dd51b3417a5dc4ae2fe21d4261142e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961002012084$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14517446$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12559442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallagher, Scott F</creatorcontrib><creatorcontrib>Williams, Brian</creatorcontrib><creatorcontrib>Gomez, Cathie</creatorcontrib><creatorcontrib>DesJardins, Christine</creatorcontrib><creatorcontrib>Swan, Sherry</creatorcontrib><creatorcontrib>Durham, Rodney M</creatorcontrib><creatorcontrib>Flint, Lewis M</creatorcontrib><title>The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Elderly patients are an increasingly larger group of injured trauma care patients. Comorbidities influence outcome. Little is known of short- and long-term mortality in the elderly who survive initial resuscitation.
Short- and long-term mortality was retrospectively analyzed in 363 consecutively injured patients (Injury severity score >15) surviving more than 3 days after admission to a level 1 trauma center (including 197 patients >60 years). Cardiac morbidity was the focus.
Survival to hospital discharge was similar comparing older patients with the entire group. Mortality increased incrementally with age. In older patients, cardiac morbidity was observed in 28% (fatal in 7); 2-year mortality was 36% (older group) and 60% (patients sustaining cardiac complications). Most elderly (80%) were discharged to long-term care.
Elderly who survive initial resuscitation are as likely to survive to discharge as younger patients, but long-term survival is significantly lower as age increases. Cardiac morbidity is associated with higher long-term mortality. Most elderly are discharged to long-term care.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Cardiac</subject><subject>Cause of Death</subject><subject>Drug therapy</subject><subject>Elderly</subject><subject>Heart attacks</subject><subject>Heart Diseases - mortality</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Long-Term Care</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Older people</subject><subject>Outcomes</subject><subject>Patient Discharge</subject><subject>Patients</subject><subject>Resuscitation - mortality</subject><subject>Retrospective Studies</subject><subject>Survival Analysis</subject><subject>Trauma</subject><subject>Trauma Severity Indices</subject><subject>Traumas. 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Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Wounds and Injuries - mortality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gallagher, Scott F</creatorcontrib><creatorcontrib>Williams, Brian</creatorcontrib><creatorcontrib>Gomez, Cathie</creatorcontrib><creatorcontrib>DesJardins, Christine</creatorcontrib><creatorcontrib>Swan, Sherry</creatorcontrib><creatorcontrib>Durham, Rodney M</creatorcontrib><creatorcontrib>Flint, Lewis M</creatorcontrib><collection>Pascal-Francis</collection><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>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gallagher, Scott F</au><au>Williams, Brian</au><au>Gomez, Cathie</au><au>DesJardins, Christine</au><au>Swan, Sherry</au><au>Durham, Rodney M</au><au>Flint, Lewis M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2003-02-01</date><risdate>2003</risdate><volume>185</volume><issue>2</issue><spage>131</spage><epage>134</epage><pages>131-134</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Elderly patients are an increasingly larger group of injured trauma care patients. Comorbidities influence outcome. Little is known of short- and long-term mortality in the elderly who survive initial resuscitation.
Short- and long-term mortality was retrospectively analyzed in 363 consecutively injured patients (Injury severity score >15) surviving more than 3 days after admission to a level 1 trauma center (including 197 patients >60 years). Cardiac morbidity was the focus.
Survival to hospital discharge was similar comparing older patients with the entire group. Mortality increased incrementally with age. In older patients, cardiac morbidity was observed in 28% (fatal in 7); 2-year mortality was 36% (older group) and 60% (patients sustaining cardiac complications). Most elderly (80%) were discharged to long-term care.
Elderly who survive initial resuscitation are as likely to survive to discharge as younger patients, but long-term survival is significantly lower as age increases. Cardiac morbidity is associated with higher long-term mortality. Most elderly are discharged to long-term care.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12559442</pmid><doi>10.1016/S0002-9610(02)01208-4</doi><tpages>4</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Cardiac Cause of Death Drug therapy Elderly Heart attacks Heart Diseases - mortality Hospitals Humans Long-Term Care Medical sciences Middle Aged Miscellaneous Morbidity Mortality Older people Outcomes Patient Discharge Patients Resuscitation - mortality Retrospective Studies Survival Analysis Trauma Trauma Severity Indices Traumas. Diseases due to physical agents Treatment Outcome Wounds and Injuries - mortality |
| title | The role of cardiac morbidity in short- and long-term mortality in injured older patients who survive initial resuscitation |
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