Geriatric trauma

Geriatric trauma
Medical personnel attend to geriatric trauma patient.
SpecialtyEmergency medicine

Geriatric trauma refers to a traumatic injury that occurs to an elderly person. People around the world are living longer than ever. In developed and underdeveloped countries, the pace of population aging is increasing. By 2050, the world's population aged 60 years and older is expected to total 2 billion, up from 900 million in 2015.[1] While this trend presents opportunities for productivity and additional experiences, it also comes with its own set of challenges for health systems. More so than ever, elderly populations are presenting to the Emergency Department following traumatic injury.[2] In addition, given advances in the management of chronic illnesses, more elderly adults are living active lifestyles and are at risk of traumatic injury. In the United States, this population accounts for 14% of all traumatic injuries, of which a majority are just mainly from falls.[3]

Trauma is a leading cause of morbidity and mortality across all age groups, however, geriatric populations are unique compared to younger counterparts in the amount of existing health issues and inherent risk of disability and death.[4] As a whole, older populations are more vulnerable to trauma from minor mechanisms of injury and less able to recover following injury.[5] At the same time, medications to manage existing chronic conditions and co-morbidities may negatively affect older adults’ physiological responses to traumatic injuries and increase the risk for complications later on.[6]

  1. ^ "Ageing and health". www.who.int. Retrieved 2021-09-11.
  2. ^ McLean, Allan J.; Le Couteur, David G. (June 2004). "Aging biology and geriatric clinical pharmacology". Pharmacological Reviews. 56 (2): 163–184. doi:10.1124/pr.56.2.4. ISSN 0031-6997. PMID 15169926. S2CID 9948208.
  3. ^ Rosen's emergency medicine : concepts and clinical practice. John A. Marx, Robert S. Hockberger, Ron M. Walls, Michelle H. Biros, Daniel F. Danzl, Marianne Gausche-Hill (Eighth ed.). Philadelphia, PA. 2014. ISBN 978-1-4557-4987-4. OCLC 853286850.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
  4. ^ McGwin, Gerald; MacLennan, Paul A.; Fife, Jessaka Bailey; Davis, Gregory G.; Rue, Loring W. (June 2004). "Preexisting conditions and mortality in older trauma patients". The Journal of Trauma. 56 (6): 1291–1296. doi:10.1097/01.ta.0000089354.02065.d0. ISSN 0022-5282. PMID 15211139.
  5. ^ Perdue, P. W.; Watts, D. D.; Kaufmann, C. R.; Trask, A. L. (October 1998). "Differences in mortality between elderly and younger adult trauma patients: geriatric status increases risk of delayed death". The Journal of Trauma. 45 (4): 805–810. doi:10.1097/00005373-199810000-00034. ISSN 0022-5282. PMID 9783625.
  6. ^ Clare, Drew; Zink, Korie L. (May 2021). "Geriatric Trauma". Emergency Medicine Clinics of North America. 39 (2): 257–271. doi:10.1016/j.emc.2021.01.002. ISSN 1558-0539. PMID 33863458. S2CID 233278820.