Trauma recidivism in the elderly.
Trauma recidivism in the elderly.
复制标题
老年人外伤累犯。
DOI：
10.1097/00005373-199612000-00002
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Rivara,FP
中科院分区：
文献类型：
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作者：
Gubler,KD;Maier,RV;Davis,R;Koepsell,T;Soderberg,R;Rivara,FP
背景老年人创伤复发的发生率尚不清楚。本研究评估了老年创伤患者与未受伤老年队列相比因损伤再入院的风险。年龄，性别，种族，先前存在的疾病，创伤recidivism.MethodsPopulation为基础的回顾性队列分析的老年人使用的行政数据从卫生保健融资管理的影响进行了测定。测量的结果是5年内的创伤入院。使用出院数据和ICD地图生成的损伤严重程度评分识别受伤者。未受伤的人是从医疗保险资格文件中确定的。共病使用ICD-9 CM代码从门诊和住院患者的数据files.ResultsThe受伤的成员队列随后新的创伤入院的风险增加（p< 0.001）进行评估。增加损伤严重程度评分，年龄和共病与创伤recidivism.ConclusionTrauma在老年人是经常性的。需要进一步的研究来制定针对年龄和损伤的干预措施，以防止复发性损伤。
BackgroundThe incidence of recurrent trauma in the elderly is unknown. This study evaluated the risk of readmission for injury among elderly trauma patients compared with an uninjured geriatric cohort. The effects of age, sex, race, preexisting illness, and ISS on trauma recidivism were determined.MethodsPopulation based retrospective cohort analysis of the elderly using administrative data from the Health Care Financing Administration was performed. The measured out-come was trauma admission within 5 years. The injured were identified using hospital discharge data and the Injury Severity Score generated by ICD-Map. The uninjured were identified from Medicare eligibility files. Comorbid illness was assessed using ICD-9CM codes from outpatient and inpatient data files.ResultsThe injured members of the cohort had increased risk of subsequent new trauma admission (p< 0.001). Increasing Injury Severity Score, age, and comorbid illness are associated with trauma recidivism.ConclusionTrauma in the elderly is recurrent. Further study is required to develop age and injury specific interventions to prevent recurrent injury.