Severe trauma in the geriatric population

• 作者: Joan Maria Raurich Jon Pérez-Bárcena Juan Antonio Llompart-Pou Marcelino Sánchez-Casado Mario Chico-Fernández
• 来源期刊: 世界重症医学杂志
• 学科: 医学
• 关键词: GERIATRIC TRAUMA ELDERLY patients SEVERE TRAUMA TRIAGE OUTCOME
• 年，卷（期）: 2017,（2）
• 页码范围: 99-106
• 页数: 8页
• 分类号: R

摘要

Geriatric trauma constitutes an increasingly recognized problem.Aging results in a progressive decline in cellular function which leads to a loose of their capacity to respond to injury.Some medications commonly used in this population can mask or blunt the response to injury.Falls constitute the most common cause of trauma and the leading cause of trauma-related deaths in this population.Falls are complicated by the widespread use of antiplatelets and anticoagulants,especially in patients with brain injury.Under-triage is common in this population.Evaluation of frailty could be helpful to solve this issue.Appropriate triaging and early aggressive management with correction of coagulopathy can improve outcome.Limitation of care and palliative measures must be considered in cases with a clear likelihood of poor prognosis.