Abstract：
As the older population increases, the number of elderly accessing the emergency department following a trauma increases accordingly. High-level trauma enters together with the identification of predictive parameters for poor outcome and mortality, may result in a death rate improvement of up to 30% in this group of patients. This study analyzes the epidemiology of major trauma admissions at Niguarda Trauma Center in Milan, Italy, focusing on the geriatric population and aiming to discriminate the trauma outcomes in the range of population between 65 and 75 years old (Senior Adult) and to compare it with the outcomes among people over 75 years old (Elderly). The variables analyzed included mortality, mechanism of injury, body district injured, Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS), Geriatric Trauma Score (GTO), and outcome. Head trauma remains the main cause of mortality with falls and road accidents being the most common mechanism of injury. Frailty and associated use of anticoagulant and antiplatelet therapy increased the risk of death by 42%. The subdivision of the elder patients into two groups (65-75 and > 75) showed a difference in the probability of death and effective mortality rate.
摘要：
随着老年人口的增加,创伤后进入急诊室的老年人数量相应增加。高级别创伤与不良预后和死亡率的预测参数的识别一起进入，可能导致该组患者的死亡率改善高达30％。这项研究分析了米兰Niguarda创伤中心重大创伤入院的流行病学，意大利,重点关注老年人群，旨在区分65至75岁人群（老年人）的创伤结局，并将其与75岁以上人群（老年人）的结局进行比较。分析的变量包括死亡率，损伤机制,身体区受伤，伤害严重程度评分（ISS），创伤严重程度评分(TRISS),老年创伤评分(GTO),和结果。头部创伤仍然是死亡的主要原因，跌倒和道路交通事故是最常见的伤害机制。虚弱以及抗凝和抗血小板治疗的相关使用使死亡风险增加了42％。将老年患者细分为两组（65-75和>75），显示出死亡概率和有效死亡率的差异。
