Short- and Long-Term Mortality in Severely Injured Older Trauma Patients: A Retrospective Analysis

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(6), P. 2064 - 2064

Published: March 18, 2025

Background/Objectives: Older trauma patients experience increased in-hospital mortality due to the physiological challenges associated with aging and injury severity. However, limited data exist on long-term rates beyond hospital discharge, particularly among severely injured elderly patients. Understanding these outcomes is essential for improving clinical management rehabilitation strategies. The objective of this study was evaluate cumulative (in-hospital, 28-day, 1-year, 2-year, 3-year) in older an Injury Severity Score (ISS) ≥ 16. Independent risk factors 1-year were also identified. Methods: This retrospective cohort included all aged 65 years ISS 16 admitted Emergency Department our level 1 center between January 2017 December 2022. Demographic characteristics, patterns (Abbreviated Scale (AIS) scores, ISS), collected from electronic health records. Patients stratified into two age groups: 65–80 >80 years. Mortality compared those corresponding groups general Swiss population. Statistical analysis Kaplan–Meier survival curves logistic regression identifying mortality. Results: A total 1189 a mean 24.3 ± 7.9 included. most common severe head (AIS 3: 70.6%), followed by chest 28.2%) extremity injuries 17.4%). overall rate 10.3%. at 28 days, year, 2 years, 3 15.8%, 26.5%, 31.5%, 36.3%, respectively. Age-stratified showed significantly higher > 80 65- 80-year group post-discharge time points (28-day: 22.6% vs. 11.9%, p < 0.001; 1-year: 39.9% 18.8%, 2-year: 46.5% 22.8%, 3-year: 56.4% 24.9%, 0.001). Compared population, we observed measured patients, over 10% population 3-year 30% advanced 3, Conclusions: Severely face high risks, reaching 26.5% nearly 40% These findings highlight need research tailored, holistic strategies, including comprehensive care, specialized neurorehabilitation, follow-up programs improve functional recovery vulnerable

Language: Английский

---

Gender-Specific Impacts of the COVID-19 Pandemic on Orthopedic and Traumatology Care: An Analysis of Hospital Admissions and Length of Stay

Healthcare, Journal Year: 2024, Volume and Issue: 12(20), P. 2031 - 2031

Published: Oct. 12, 2024

Background: Understanding gender disparities in healthcare outcomes is crucial, especially during crises like the COVID-19 pandemic. The absence of gender-specific data on hospital admissions and lengths stay for orthopedic traumatology patients limits precision current analyses, making conclusions speculative. Objective: This study aims to highlight potential insights that could be gained from gender-disaggregated data, illustrating how a more precise gender-based analysis reveal trauma care Materials Methods: A robust would require including variables such as admission rates, stay, injury types, access care, along with factors age socioeconomic status. In hypothetical framework was developed based known disparities, using general trends project possible impacts. Results: Without it remains challenging identify specific differences accurately. Hypothetical scenarios suggest durations, influenced by increased caregiving responsibilities women or differential Conclusions: To accurately assess pandemic, future studies must prioritize collection use data. approach essential drawing reliable developing targeted interventions address inequities effectively.

Language: Английский

---

A time‐motion study on impact of spatial separation for empiric airborne precautions in emergency department length of stay

Journal of Clinical Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 5, 2024

To evaluate the impact of spatial separation on patient flow in emergency department.

Language: Английский

---

Confronting the Ongoing Challenges of COVID-19: A Comprehensive Approach for Health Care Systems

Disaster Medicine and Public Health Preparedness, Journal Year: 2024, Volume and Issue: 18

Published: Jan. 1, 2024

Language: Английский

---

The Silent Burden: Investigating Post-Traumatic Stress Disorder and Social Isolation Among Healthcare Workers During COVID-19

Healthcare, Journal Year: 2024, Volume and Issue: 12(23), P. 2360 - 2360

Published: Nov. 25, 2024

: The COVID-19 pandemic has significantly impacted the mental health of healthcare professionals, particularly nurses and paramedics. This study investigates prevalence Post-Traumatic Stress Disorder (PTSD) impact social ostracism on psychological distress among workers (HCWs) in Poland, with a focus exploring interplay between professional factors contributing to their stress.

Language: Английский

---