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The Association of Gender and Mortality in Geriatric Trauma Patients

The association of gender with mortality in trauma remains a subject of debate. Geriatric trauma patients have a higher risk of mortality compared to younger patients. We sought to evaluate the association of gender with mortality in a group of geriatric trauma patients presenting to an academic lev...

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Autores principales: Pandya, Shreya, Le, Timothy, Demissie, Seleshi, Zaky, Ahmed, Arjmand, Shadi, Patel, Nikhil, Moko, Lilamarie, Garces, Juan, Rivera, Paula, Singer, Kiara, Fedoriv, Ivan, Garcia, Zachery, Kennedy, James, Makkapati, Bhavana, Mukherjee, Indraneil, Szerszen, Anita, Gross, Jonathan, Glinik, Galina, Younan, Duraid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407800/
https://www.ncbi.nlm.nih.gov/pubmed/36011129
http://dx.doi.org/10.3390/healthcare10081472
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author Pandya, Shreya
Le, Timothy
Demissie, Seleshi
Zaky, Ahmed
Arjmand, Shadi
Patel, Nikhil
Moko, Lilamarie
Garces, Juan
Rivera, Paula
Singer, Kiara
Fedoriv, Ivan
Garcia, Zachery
Kennedy, James
Makkapati, Bhavana
Mukherjee, Indraneil
Szerszen, Anita
Gross, Jonathan
Glinik, Galina
Younan, Duraid
author_facet Pandya, Shreya
Le, Timothy
Demissie, Seleshi
Zaky, Ahmed
Arjmand, Shadi
Patel, Nikhil
Moko, Lilamarie
Garces, Juan
Rivera, Paula
Singer, Kiara
Fedoriv, Ivan
Garcia, Zachery
Kennedy, James
Makkapati, Bhavana
Mukherjee, Indraneil
Szerszen, Anita
Gross, Jonathan
Glinik, Galina
Younan, Duraid
author_sort Pandya, Shreya
collection PubMed
description The association of gender with mortality in trauma remains a subject of debate. Geriatric trauma patients have a higher risk of mortality compared to younger patients. We sought to evaluate the association of gender with mortality in a group of geriatric trauma patients presenting to an academic level 1 trauma center (trauma center designated by New York State capable of handling the most severe injuries and most complex cases). Methods: We performed a retrospective review of geriatric trauma patients who were admitted to our trauma center between January 2018 and December 2020. Data collected included vital signs, demographics, injury, and clinical characteristics, laboratory data and outcome measures. The study controlled for co-morbidities, injury severity score (ISS), and systolic blood pressure (SBP) in the ED. Multivariable logistic regression analysis was performed to evaluate the association of gender and mortality. Results: 4432 geriatric patients were admitted during the study period, there were 1635 (36.9%) men and 3859 (87.2%) were White with an average age of 81 ± 8.5 years. The mean ISS was 6.7 ± 5.4 and average length of stay was 6 ± 6.3 days. There were 165 deaths. Male gender (OR 1.94, 95% CI 1.38 to 2.73), ISS (OR 1.12, 95% CI 1.09 to 1.14), Emergency Department SBP less than 90 mmHg (OR 6.17, 95% CI 3.17 to 12.01), and having more than one co-morbidity (OR 2.28, 95% CI 1.55 to 3.35) were independently predictive of death on multivariable logistic regression analysis. Conclusion: Male gender, Emergency Department systolic blood pressure less than 90 mmHg, having more than one co-morbidity, and injury severity are independent predictors of mortality among geriatric trauma patients.
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spelling pubmed-94078002022-08-26 The Association of Gender and Mortality in Geriatric Trauma Patients Pandya, Shreya Le, Timothy Demissie, Seleshi Zaky, Ahmed Arjmand, Shadi Patel, Nikhil Moko, Lilamarie Garces, Juan Rivera, Paula Singer, Kiara Fedoriv, Ivan Garcia, Zachery Kennedy, James Makkapati, Bhavana Mukherjee, Indraneil Szerszen, Anita Gross, Jonathan Glinik, Galina Younan, Duraid Healthcare (Basel) Systematic Review The association of gender with mortality in trauma remains a subject of debate. Geriatric trauma patients have a higher risk of mortality compared to younger patients. We sought to evaluate the association of gender with mortality in a group of geriatric trauma patients presenting to an academic level 1 trauma center (trauma center designated by New York State capable of handling the most severe injuries and most complex cases). Methods: We performed a retrospective review of geriatric trauma patients who were admitted to our trauma center between January 2018 and December 2020. Data collected included vital signs, demographics, injury, and clinical characteristics, laboratory data and outcome measures. The study controlled for co-morbidities, injury severity score (ISS), and systolic blood pressure (SBP) in the ED. Multivariable logistic regression analysis was performed to evaluate the association of gender and mortality. Results: 4432 geriatric patients were admitted during the study period, there were 1635 (36.9%) men and 3859 (87.2%) were White with an average age of 81 ± 8.5 years. The mean ISS was 6.7 ± 5.4 and average length of stay was 6 ± 6.3 days. There were 165 deaths. Male gender (OR 1.94, 95% CI 1.38 to 2.73), ISS (OR 1.12, 95% CI 1.09 to 1.14), Emergency Department SBP less than 90 mmHg (OR 6.17, 95% CI 3.17 to 12.01), and having more than one co-morbidity (OR 2.28, 95% CI 1.55 to 3.35) were independently predictive of death on multivariable logistic regression analysis. Conclusion: Male gender, Emergency Department systolic blood pressure less than 90 mmHg, having more than one co-morbidity, and injury severity are independent predictors of mortality among geriatric trauma patients. MDPI 2022-08-05 /pmc/articles/PMC9407800/ /pubmed/36011129 http://dx.doi.org/10.3390/healthcare10081472 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Pandya, Shreya
Le, Timothy
Demissie, Seleshi
Zaky, Ahmed
Arjmand, Shadi
Patel, Nikhil
Moko, Lilamarie
Garces, Juan
Rivera, Paula
Singer, Kiara
Fedoriv, Ivan
Garcia, Zachery
Kennedy, James
Makkapati, Bhavana
Mukherjee, Indraneil
Szerszen, Anita
Gross, Jonathan
Glinik, Galina
Younan, Duraid
The Association of Gender and Mortality in Geriatric Trauma Patients
title The Association of Gender and Mortality in Geriatric Trauma Patients
title_full The Association of Gender and Mortality in Geriatric Trauma Patients
title_fullStr The Association of Gender and Mortality in Geriatric Trauma Patients
title_full_unstemmed The Association of Gender and Mortality in Geriatric Trauma Patients
title_short The Association of Gender and Mortality in Geriatric Trauma Patients
title_sort association of gender and mortality in geriatric trauma patients
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9407800/
https://www.ncbi.nlm.nih.gov/pubmed/36011129
http://dx.doi.org/10.3390/healthcare10081472
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