Avtor/Urednik		Brilej, Drago
Naslov		Prognostični dejavniki preživetja hudo poškodovanih starostnikov
Tip		monografija
Kraj izdaje		Ljubljana
Založnik		Medicinska fakulteta
Leto izdaje		2001
Obseg		str. 52
Jezik		slo
Abstrakt		Background: Injury will soon become a disease more closely associated with elderly, not just a problem that affects the "young, most productive members of our society". The outcome of multipfe injured elderly patients is uncertain despite of the more demanding and expensive treatment. More data about the outcome might have consequences on therapeutic strategies, health care planning, and the altocation of resources. Methods: A total 41 patients met the inclusion criteria: age >65 years, blunt trauma, major injury to at least two bodily regions, Injury Severity Score (ISS) at least 18. Mortality, factors that predict mortality and functional ability 1 year after injury were reviewed. The standardized form for polytraumatized patients was used for the purpose of collecting of data. The following data were obtained: age, sex, mechanism and nature of injury, pre-existing medical conditions, injury type and severity, complications, functional results at discharge and at 1-year after injury. Pre-existing diseases were classified according to APACHE II preinjury conditions. The ISS and Revised Trauma Score (RTS) were calculated for each patient. The probability of survival (Ps) was determined using the TRISS methodology. Disability at discharge from acute care and one year after injury was measured by three Functional independence measure elements (FIM) elements on original 4-point scale: feeding, locomotion and excpression. Results: There were 16 in-hospital deaths among 41 geriatric trauma patients mortality 39%). There was no significant difference in age between the survivors and non-survivors. Female patients were more likely to die following trauma as male patient. The effect of comorbid disease was not associated with poorer outcome. Severe thoracic injury was found to correlate with mortality and morbidity. The mean ISS was 31.3 (SD 11.3). (Abstract truncated at 2000 characters).
Deskriptorji		INJURY SEVERITY SCORE MULTIPLE TRAUMA TRAUMA SEVERITY INDICES AGED PROGNOSIS SURVIVAL ANALYSIS APACHE