Normal presenting vital signs are unreliable in geriatric blunt trauma victims

Journal of Trauma - Injury, Infection and Critical Care

Volumn 69, Issue 4, 2010, Pages 813-818

  Heffernan, Daithi S ^a   Thakkar, Rajan K ^a   Monaghan, Sean F ^a   Ravindran, Radhika ^a   Adams, Charles A ^a   Kozloff, Matthew S ^a   Gregg, Shea C ^a   Connolly, Michael D ^a   MacHan, Jason T ^a   Cioffi, William G ^a  

^a RHODE ISLAND HOSPITAL   (United States)

Author keywords

Blunt; Geriatric trauma; Vital signs

Indexed keywords

ADULT; AGED; ARTICLE; BLUNT TRAUMA; BRADYCARDIA; CONTROLLED STUDY; GERIATRIC PATIENT; GROUPS BY AGE; HEAD INJURY; HEART RATE; HUMAN; HYPOTENSION; INJURY SCALE; LIMB INJURY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; MORTALITY; MULTIPLE TRAUMA; PRIORITY JOURNAL; PROGNOSIS; RETROSPECTIVE STUDY; SEX DIFFERENCE; SYSTOLIC BLOOD PRESSURE; TACHYCARDIA; THORAX BLUNT TRAUMA; VICTIM; VITAL SIGN;

ADOLESCENT; ADULT; AGE FACTORS; AGED; BLOOD PRESSURE; FEMALE; HEART RATE; HOSPITAL MORTALITY; HUMANS; LOGISTIC MODELS; MALE; NONLINEAR DYNAMICS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK; SEX FACTORS; SURVIVAL ANALYSIS; TRAUMA CENTERS; VITAL SIGNS; WOUNDS, NONPENETRATING; YOUNG ADULT;

EID: 77958176284     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181f41af8     Document Type: Article

References (19)

1. Kirkpatrick J, Youmans R. Trauma index: an aid in evaluation of injuryvictims. J Trauma. 1971;11: 711-714.
2. Berger U, Der G, Mutrie N, Hannah MK. The impact of retirement onphysical activity. Ageing Soc. 2005;25: 181-195.
3. Schwab C, Kauder D. Trauma in the geriatric patient. Arch Surg.1992;127: 701-706.
4. Broos P. Multiple trauma in elderly patients: factors influencing outcome.Injury. 1993;24: 365-368.
5. Champion H, Copes S, Buyer D. Major trauma in geriatric patients. Am JPublic Health. 1989;79: 1278-1282.
6. Osler T, Hales K, Baack B, et al. Trauma in the elderly. Am J Surg.1988;156: 537-543.
7. Callaway D, Wolfe R. Geriatric trauma. Emerg Med Clin of North Am.2007;25: 837-860.
8. Howard JL, Cipolle M, Horvat S, et al. Preinjury warfarin worsensoutcome in elderly patients who fall from standing. J Trauma. 2009;66: 1518-1524.
9. Sterling D, O'Connor J, Bonadies J. Geriatric falls: injury severity ishigh and disproportionate to mechanism. J Trauma. 2001;50: 116-119.
10. Demetriades D, Sava J, Alo K, et al. Old age as a criterion for traumateam activation. J Trauma. 2001;51: 754-756.
11. Demetriades D, Chan L, Bhasin P, et al. Relative bradycardia in patientswith traumatic hypotension. J Trauma. 1998;45: 534-539.
12. Dutton R, MacKenzie C, Scalea T. Hypotensive resuscitation duringactive hemorrhage: impact on in-hospital mortality. J Trauma. 2002;52: 1141-1146.
13. Fowler R, Pepe P. Fluid resuscitation of the patient with major trauma.Curr Opin Anaesthesiol. 2002;15: 173-178.
14. Scalea T, Simon H, Duncan A, et al. Geriatric blunt multiple trauma: improved survival with early invasive monitoring. J Trauma. 1990;30: 129-134.
15. Knudson M, Lieberman J, Morris J Jr, Cushing BM, Stubbs HA.Mortality factors in geriatric blunt trauma patients. Arch Surg. 1994;129: 448-453.
16. Plurad D, Brown C, Chan L, Demetriades D, Rhee P. Emergencydepartment hypotension is not an independent risk factor for posttraumaticacute renal dysfunction. J Trauma. 2006;61: 1120-1127.
17. Davis J, Kaups K. Base deficit in the elderly: a marker of severe injuryand death. J Trauma. 1998;45: 873-877.
18. May A, Dossett L, Norris P, et al. Estradiol is associated with mortalityin critically ill trauma and surgical patients. Crit Care Med. 2008;36: 62-68.
19. George R, McGwin G, Metzger J, Chaudry IH, Rue LW III. Theassociation between gender and mortality among trauma patients asmodified by age. J Trauma. 2003;54: 464-471.