Non-hip fracture-associated trauma in the elderly population

Dror Soffer, Josef Klausner, Oded Szold, Carl I Schulman, Pinhas Halpern, Bella Savitsky, Limor Aharonson-Daniel, Kobi Peleg

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: The rate of trauma in the elderly is growing. Objectives: To evaluate the characteristics of non-hip fracture-associated trauma in elderly patients at a level I trauma center. Methods: The study database of this retrospective cohort study was the trauma registry of a level I trauma center. Trauma patients admitted from January 2001 to December 2003 were stratified into different age groups. Patients with the diagnosis of hip fracture were excluded. Results: The study group comprised 7629 patients. The non-hip fracture elderly group consisted of 1067 patients, 63.3% women and 36.7% men. The predominant mechanism of injury was falls (70.5%) and most of the injuries were blunt (94.1 %). Injury Severity Score was found to increase significantly with age. The average mortality rate among the elderly was 6.1%. Age, ISS, Glasgow Coma Score on admission, and systolic blood pressure on admission were found to be independent predictors of mortality. Conclusions: Falls remain the predominant cause of injury in the elderly. Since risk factors for mortality can be identified, an effective community prevention program can help combat the future expected increase in morbidity and mortality associated with trauma in the elderly.

Original languageEnglish
Pages (from-to)635-640
Number of pages6
JournalIsrael Medical Association Journal
Volume8
Issue number9
StatePublished - Sep 1 2006

Fingerprint

Wounds and Injuries
Population
Blood pressure
Mortality
Trauma Centers
Blood Pressure
Nonpenetrating Wounds
Injury Severity Score
Hip Fractures
Coma
Registries
Cohort Studies
Retrospective Studies
Age Groups
Databases
Morbidity

Keywords

  • Elderly
  • Hip fracture
  • Trauma

ASJC Scopus subject areas

  • Medicine(all)
  • Bioengineering

Cite this

Soffer, D., Klausner, J., Szold, O., Schulman, C. I., Halpern, P., Savitsky, B., ... Peleg, K. (2006). Non-hip fracture-associated trauma in the elderly population. Israel Medical Association Journal, 8(9), 635-640.

Non-hip fracture-associated trauma in the elderly population. / Soffer, Dror; Klausner, Josef; Szold, Oded; Schulman, Carl I; Halpern, Pinhas; Savitsky, Bella; Aharonson-Daniel, Limor; Peleg, Kobi.

In: Israel Medical Association Journal, Vol. 8, No. 9, 01.09.2006, p. 635-640.

Research output: Contribution to journalArticle

Soffer, D, Klausner, J, Szold, O, Schulman, CI, Halpern, P, Savitsky, B, Aharonson-Daniel, L & Peleg, K 2006, 'Non-hip fracture-associated trauma in the elderly population', Israel Medical Association Journal, vol. 8, no. 9, pp. 635-640.
Soffer D, Klausner J, Szold O, Schulman CI, Halpern P, Savitsky B et al. Non-hip fracture-associated trauma in the elderly population. Israel Medical Association Journal. 2006 Sep 1;8(9):635-640.
Soffer, Dror ; Klausner, Josef ; Szold, Oded ; Schulman, Carl I ; Halpern, Pinhas ; Savitsky, Bella ; Aharonson-Daniel, Limor ; Peleg, Kobi. / Non-hip fracture-associated trauma in the elderly population. In: Israel Medical Association Journal. 2006 ; Vol. 8, No. 9. pp. 635-640.
@article{75ff6d3d288f4c2487a3846f64f9fb38,
title = "Non-hip fracture-associated trauma in the elderly population",
abstract = "Background: The rate of trauma in the elderly is growing. Objectives: To evaluate the characteristics of non-hip fracture-associated trauma in elderly patients at a level I trauma center. Methods: The study database of this retrospective cohort study was the trauma registry of a level I trauma center. Trauma patients admitted from January 2001 to December 2003 were stratified into different age groups. Patients with the diagnosis of hip fracture were excluded. Results: The study group comprised 7629 patients. The non-hip fracture elderly group consisted of 1067 patients, 63.3{\%} women and 36.7{\%} men. The predominant mechanism of injury was falls (70.5{\%}) and most of the injuries were blunt (94.1 {\%}). Injury Severity Score was found to increase significantly with age. The average mortality rate among the elderly was 6.1{\%}. Age, ISS, Glasgow Coma Score on admission, and systolic blood pressure on admission were found to be independent predictors of mortality. Conclusions: Falls remain the predominant cause of injury in the elderly. Since risk factors for mortality can be identified, an effective community prevention program can help combat the future expected increase in morbidity and mortality associated with trauma in the elderly.",
keywords = "Elderly, Hip fracture, Trauma",
author = "Dror Soffer and Josef Klausner and Oded Szold and Schulman, {Carl I} and Pinhas Halpern and Bella Savitsky and Limor Aharonson-Daniel and Kobi Peleg",
year = "2006",
month = "9",
day = "1",
language = "English",
volume = "8",
pages = "635--640",
journal = "Israel Medical Association Journal",
issn = "1565-1088",
publisher = "Israel Medical Association",
number = "9",

}

TY - JOUR

T1 - Non-hip fracture-associated trauma in the elderly population

AU - Soffer, Dror

AU - Klausner, Josef

AU - Szold, Oded

AU - Schulman, Carl I

AU - Halpern, Pinhas

AU - Savitsky, Bella

AU - Aharonson-Daniel, Limor

AU - Peleg, Kobi

PY - 2006/9/1

Y1 - 2006/9/1

N2 - Background: The rate of trauma in the elderly is growing. Objectives: To evaluate the characteristics of non-hip fracture-associated trauma in elderly patients at a level I trauma center. Methods: The study database of this retrospective cohort study was the trauma registry of a level I trauma center. Trauma patients admitted from January 2001 to December 2003 were stratified into different age groups. Patients with the diagnosis of hip fracture were excluded. Results: The study group comprised 7629 patients. The non-hip fracture elderly group consisted of 1067 patients, 63.3% women and 36.7% men. The predominant mechanism of injury was falls (70.5%) and most of the injuries were blunt (94.1 %). Injury Severity Score was found to increase significantly with age. The average mortality rate among the elderly was 6.1%. Age, ISS, Glasgow Coma Score on admission, and systolic blood pressure on admission were found to be independent predictors of mortality. Conclusions: Falls remain the predominant cause of injury in the elderly. Since risk factors for mortality can be identified, an effective community prevention program can help combat the future expected increase in morbidity and mortality associated with trauma in the elderly.

AB - Background: The rate of trauma in the elderly is growing. Objectives: To evaluate the characteristics of non-hip fracture-associated trauma in elderly patients at a level I trauma center. Methods: The study database of this retrospective cohort study was the trauma registry of a level I trauma center. Trauma patients admitted from January 2001 to December 2003 were stratified into different age groups. Patients with the diagnosis of hip fracture were excluded. Results: The study group comprised 7629 patients. The non-hip fracture elderly group consisted of 1067 patients, 63.3% women and 36.7% men. The predominant mechanism of injury was falls (70.5%) and most of the injuries were blunt (94.1 %). Injury Severity Score was found to increase significantly with age. The average mortality rate among the elderly was 6.1%. Age, ISS, Glasgow Coma Score on admission, and systolic blood pressure on admission were found to be independent predictors of mortality. Conclusions: Falls remain the predominant cause of injury in the elderly. Since risk factors for mortality can be identified, an effective community prevention program can help combat the future expected increase in morbidity and mortality associated with trauma in the elderly.

KW - Elderly

KW - Hip fracture

KW - Trauma

UR - http://www.scopus.com/inward/record.url?scp=33749059768&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33749059768&partnerID=8YFLogxK

M3 - Article

C2 - 17058416

AN - SCOPUS:33749059768

VL - 8

SP - 635

EP - 640

JO - Israel Medical Association Journal

JF - Israel Medical Association Journal

SN - 1565-1088

IS - 9

ER -