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Severe trauma in the geriatric population
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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415855/ https://www.ncbi.nlm.nih.gov/pubmed/28529911 http://dx.doi.org/10.5492/wjccm.v6.i2.99 |
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author | Llompart-Pou, Juan Antonio Pérez-Bárcena, Jon Chico-Fernández, Mario Sánchez-Casado, Marcelino Raurich, Joan Maria |
author_facet | Llompart-Pou, Juan Antonio Pérez-Bárcena, Jon Chico-Fernández, Mario Sánchez-Casado, Marcelino Raurich, Joan Maria |
author_sort | Llompart-Pou, Juan Antonio |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5415855 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-54158552017-05-19 Severe trauma in the geriatric population Llompart-Pou, Juan Antonio Pérez-Bárcena, Jon Chico-Fernández, Mario Sánchez-Casado, Marcelino Raurich, Joan Maria World J Crit Care Med Minireviews 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. Baishideng Publishing Group Inc 2017-05-04 /pmc/articles/PMC5415855/ /pubmed/28529911 http://dx.doi.org/10.5492/wjccm.v6.i2.99 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Minireviews Llompart-Pou, Juan Antonio Pérez-Bárcena, Jon Chico-Fernández, Mario Sánchez-Casado, Marcelino Raurich, Joan Maria Severe trauma in the geriatric population |
title | Severe trauma in the geriatric population |
title_full | Severe trauma in the geriatric population |
title_fullStr | Severe trauma in the geriatric population |
title_full_unstemmed | Severe trauma in the geriatric population |
title_short | Severe trauma in the geriatric population |
title_sort | severe trauma in the geriatric population |
topic | Minireviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5415855/ https://www.ncbi.nlm.nih.gov/pubmed/28529911 http://dx.doi.org/10.5492/wjccm.v6.i2.99 |
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