| Objective: To investigate the clinical features of geriatric trauma and analyze the risk factors for death.Methods: The clinical data of geriatric trauma patients admitted to the first aid center of the First Affiliated Hospital of Xinjiang Medical University from January 2012 to December 2016 were collected: gender,nationality,age,admission body temperature(T),respiratory rate(RR),systolic blood pressure(SBP),heart rate(HR),injury time,injury mechanism,injury location,duration of hospitalization,mortality.The characteristics of the above indicators were summed up and the differences in the survival and death of the patients were compared.Results: There were 2284 cases of elderly trauma patients,1125(49.3%)for men and 1159(50.7%)for women.The average age was 71.52 ? 8.33 years,of which 1135 cases were Uygur(46.7%),963 cases were Han(42.2%).Injury mechanism: accidental fall(69.2%),traffic accident(15.3%),high altitude crash(4.1%).Sites of injury: limbs(48.3%),brain(18.4%),chest(12.2%),abdomen(11.4%).Among them,279 cases(12.2%)suffered multiple injuries.There were significant differences in sex,age,and time of hospitalization(p < 0.05)for the patients with different injury mechanisms.The time of hospitalization of traffic accidents and inadvertent wounding is the longest.There were significant differences in the injury mechanism between the survival group and the death group.There were significant differences in the injury sites between the survival group and the death group.Multiple injuries the high mortality rate,brain injury(5.2%),limbs(2.5%).There was no significant difference in the days of hospitalization between the survival group and the death group.The age of the death group was significantly greater than that in the survival group.Conclusion: The emergency admissions of geriatric trauma winter high incidence,the main mechanism of injury for which accidentally falls,is the most common site of limb trauma.Sex,age are associated with the prognosis of geriatric trauma. |
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