Read by QxMD icon Read

Geriatric cardiac trauma

Michael M Woll, Linda L Maerz
The elderly population is rapidly increasing in number. Therefore, geriatric trauma is becoming more prevalent. All practitioners caring for geriatric trauma patients should be familiar with the structural and functional changes naturally occurring in the aging heart, as well as common preexisting cardiac diseases in the geriatric population. Identification of the shock state related to cardiac dysfunction and targeted assessment of perfusion and resuscitation are important when managing elderly patients. Finally, management of cardiac dysfunction in the trauma patient includes an appreciation of the inherent effects of trauma on cardiac function...
December 2016: Anesthesiology Clinics
Bellal Joseph, Herb Phelan, Ahmed Hassan, Tahereh Orouji Jokar, Terence O'Keeffe, Asad Azim, Lynn Gries, Narong Kulvatunyou, Rifat Latifi, Peter Rhee
INTRODUCTION: Failure-to-rescue (FTR) (defined as death from a major complication) is considered as an index of hospital quality in trauma patients. However, the role of frailty in FTR events remains unclear. We hypothesized that FTR rate is higher in elderly frail trauma patients. METHODS: We performed a prospective cohort study of all elderly (age ≥ 65 yrs.) trauma patients presenting at our level one trauma center. Patient's frailty status was calculated utilizing the Trauma Specific Frailty Index (TSFI) within 24 hours of admission...
September 16, 2016: Journal of Trauma and Acute Care Surgery
Joseph A Molnar, Lucian G Vlad, Tuna Gumus
There is increasing awareness that chronic wound healing is very dependent on the patient's nutritional status, but there are no clearly established and accepted assessment protocols or interventions in clinical practice. Much of the data used as guidelines for chronic wound patients are extrapolated from acutely wounded trauma patients, but the 2 groups are very different patient populations. While most trauma patients are young, healthy, and well-nourished before injury, the chronic wound patient is usually old, with comorbidities and frequently malnourished...
September 2016: Plastic and Reconstructive Surgery
Ashley N DeLeon, John M Uecker, Susan V Stafford, Sadia Ali, Adam Clark, Carlos V R Brown
To determine whether a restrictive strategy of red cell transfusion was safe in elderly trauma patients, we compared those treated with a restrictive transfusion strategy versus those who were liberally transfused. We performed a retrospective study of elderly (age ≥ 70 years) trauma patients admitted to our Level I trauma center from 2005 to 2013. Patients with a hemoglobin (Hg) < 10 g/dL after 48 hours were included. We excluded patients with an Injury Severity Score > 25 or active cardiac ischemia...
January 2016: American Surgeon
Vladimir Zaichick
To clarify age-related changes of 67 macro- and microelement contents in prostate gland of adult and geriatric males, a quantitative measurement by five analytical methods was performed. The nonhyperplastic prostate glands of 65 subjects (European-Caucasian aged 21-87 years) were investigated by energy dispersive X-ray fluorescence (EDXRF), instrumental neutron activation analysis with high resolution spectrometry of short-lived radionuclides (INAA-SLR), instrumental neutron activation analysis with high resolution spectrometry of long-lived radionuclides (INAA-LLR), inductively coupled plasma atomic emission spectrometry (ICP-AES), and inductively coupled plasma mass spectrometry (ICP-MS)...
November 2015: Biological Trace Element Research
William M Ricci, Angel Brandt, Christopher McAndrew, Michael J Gardner
PURPOSE: The purpose of this study was to determine factors, including day of week of hospital admission, associated with delay to surgery (DTS) and increased length of stay (LOS) in patients with hip fractures. DESIGN: Retrospective. SETTING: Level I Trauma Center. PATIENTS AND METHODS: Six hundred thirty-five consecutive patients admitted to a single hospital between January 1999 and July 2006 aged 65 years or older with a hip fracture (OTA 31) were identified retrospectively from an orthopaedic database...
March 2015: Journal of Orthopaedic Trauma
Katelyn J Rittenhouse, Tuc To, Amelia Rogers, Daniel Wu, Michael Horst, Mathew Edavettal, Jo Ann Miller, Frederick B Rogers
INTRODUCTION: Approximately one in three older adults fall each year, resulting in a significant proportion of geriatric traumatic injuries. In a hospital with a focus on geriatric fall prevention, we sought to characterize this population to develop targeted interventions. As mild hyponatremia, defined as a serum sodium <135meq/L, has been reported to be associated with falls, unsteadiness and attention deficits, we hypothesized that hyponatremia is associated with falls in our geriatric trauma population...
January 2015: Injury
Jason Murry, Michael S Truitt, Usha Mani, Nimesh Patel, Anthony Aramoonie, Ernest L Dunn
GOAL: Geriatric trauma patients tend to have worse outcomes than their younger counterparts. The American Heart Association (AHA) recommends preoperative cardiac clearance to stratify patients according to perioperative cardiac risk. The utility of this in the trauma setting remains unclear. We sought to identify the role of preoperative echocardiograms (echo) in geriatric trauma patients. METHODS: We performed a retrospective review of geriatric trauma patients who required operative intervention over a 1-year period...
July 2014: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
Bellal Joseph, Viraj Pandit, Bardiya Zangbar, Narong Kulvatunyou, Ammar Hashmi, Donald J Green, Terence O'Keeffe, Andrew Tang, Gary Vercruysse, Mindy J Fain, Randall S Friese, Peter Rhee
IMPORTANCE: The Frailty Index (FI) is a known predictor of adverse outcomes in geriatric patients. The usefulness of the FI as an outcome measure in geriatric trauma patients is unknown. OBJECTIVE: To assess the usefulness of the FI as an effective assessment tool in predicting adverse outcomes in geriatric trauma patients. DESIGN, SETTING, AND PARTICIPANTS: A 2-year (June 2011 to February 2013) prospective cohort study at a level I trauma center at the University of Arizona...
August 2014: JAMA Surgery
S J M Smeets, M Poeze, J P A M Verbruggen
BACKGROUND: The American College of Cardiology (ACC) and the American Heart Association (AHA) have developed guidelines for perioperative assessment of patients in case of non-cardiac surgery. The aim of this study was to investigate if the preoperative cardiac evaluation of geriatric patients with hip fracture was in accordance with these guidelines and what the effects were on outcome. METHODS: In a retrospective study 388 patients with hip fracture treated in the department of Trauma surgery of the Maastricht University Medical Centre in the Netherlands were included...
December 2012: Injury
Hayati Kandis, Sami Karapolat, Ismail Erden, Melik Candar, Ayhan Saritas
Cardiac rhythm problems are frequently seen in the geriatric population, and they can experience trauma after syncope. A 78-year-old female was examined for thoracic trauma after falling. With a history of beta-blocker use, arterial blood pressure measured 60/30 mmHg and pulse rate was 30 bpm. Electrocardiogram showed a Mobitz type-II second-degree atrioventricular block. There was no response to atropine, so a transcutaneous external pacemaker and after that a transvenous pacemaker were applied. On the 4th day, the pacemaker was removed and the patient was discharged...
December 2011: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
A Albert, Z Ujvari, M Mauser, J Ennker
Caused by the age-dependent prevalence of cardiac diseases, the number of cardiac surgical interventions to geriatric patients is increasing. High life quality and life expectancy can be reached by cardiac operations. The advantage of cardiac surgical interventions is the decade's long positive effect. Accordingly also elderly benefit from complete revascularisation and from aortic valve replacement with biological prosthesis, which rarely degenerate in old age. A weak point is the surgical trauma, which can be reduced by less-invasive methods, such as OPCAB with aortic non-touch-technique, resulting in less than 1 % stroke...
November 2008: Deutsche Medizinische Wochenschrift
Thomas M Frangen, Christoph Zilkens, Gert Muhr, Christian Schinkel
BACKGROUND: Odontoid fractures in geriatric patients occur frequently and are associated with a high morbidity and mortality. The decision for operative or nonoperative therapy is still controversial. Recent studies confirmed that external stabilization with halo-vest immobilization is associated with high complication rates and mortality. An operation has a high perioperative risk because of comorbidities, but previous data suggest improved outcome in this group. METHODS: To test this hypothesis, we retrospectively analyzed geriatric patients that underwent operation for isolated unstable type II odontoid fractures (Anderson and D'Alonzo classification) in our institution between March 2003 and March 2005...
July 2007: Journal of Trauma
Hilaire J Thompson, Meg Bourbonniere
This review demonstrates essential issues to consider when caring for older trauma patients, including baseline physical status, mental health, comorbidities, and risk factors for sequelae and future injuries. The impact of a traumatic injury on older adults is complex. Issues of normal aging, functional status, chronic health conditions, and response to treatment affect health care and related decisions. Studies that have examined outcomes for older trauma patients to date have been mainly descriptive or confined to a single institution, limiting our ability to generalize...
September 2006: Critical Care Nursing Clinics of North America
No abstract text is available yet for this article.
June 1964: Geriatrics
P W Perdue, D D Watts, C R Kaufmann, A L Trask
BACKGROUND: Elderly patients suffer higher mortality rates after trauma than younger patients. This increased mortality is attributable to age, preexisting disease, and complications as well as injury severity. METHODS: Records from 5,139 adult patients from a Level I trauma center were retrospectively reviewed. Injury Severity Score (ISS), Revised Trauma Score (RTS), early mortality (<24 hours), and late mortality (>24 hours) were determined for elderly (> or =65 years) and younger (16-64 years) patients...
October 1998: Journal of Trauma
J Raunest, R Engelmann, E Derra
The influence of operative morbidity on clinical long-term results is evaluated in a prospective study employing a consecutive series of 120 patients (mean age, 82.5 +/- 4.7 years) with operatively treated fractures of the coxal femur. Perioperative complications which were observed in 37.5%, with a predominance of urinary tract infection (n = 26), bronchopneumonia (n = 16) and cardiac decompensation (n = 4), were significantly associated with a pertrochanteric fracture localization (p < 0.05), prolonged latency from trauma to surgery (p < 0...
1996: Langenbecks Archiv Für Chirurgie. Supplement. Kongressband
D B Levy, D P Hanlon, R N Townsend
Elderly individuals not only live longer but are also more active than in the past. Accompanying this increase in activity is the number of older trauma victims. The effect of aging on response to injury is reviewed, and the initial evaluation and treatment of geriatric trauma are delineated in this article. Specific injuries of note include head and chest wall injury; pulmonary and cardiac contusion; abdominal trauma; and aortic, spinal, and musculoskeletal injury.
August 1993: Clinics in Geriatric Medicine
W M Gee
Macroscopic and histological studies of 3000 consecutive autopsies (43.9% of the registered deaths) were performed by the same pathologist in a geriatric institution over a period of 20 years. Bronchopneumonia (42.9%), malignant neoplasms--mainly of the gastrointestinal tract and its annexae and the lungs (28.1%)-pulmonary thrombo-embolism (21.2%) and acute myocardial infarction (19.6%), were the most prevalent fatal conditions observed. Next, in decreasing order were: urinary tract infection (12.3%), acute cerebrovascular disease (6...
1993: Virchows Archiv. A, Pathological Anatomy and Histopathology
J H Lonner, K J Koval
As the elderly population grows, a concomitant increase in polytrauma in the geriatric sector is predicted. Diminished physiologic reserve and deficiencies in management contribute to higher rates of morbidity and mortality in the elderly patient with trauma as compared with the young patient with equivalent trauma. Currently, traditional trauma scoring systems are insufficient in directing triage and predicting survival for these elderly patients. This may be related to the effects of aging and associated comorbidities...
September 1995: Clinical Orthopaedics and related Research
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"