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Geriatric Trauma


Association Between Wait Time and 30-Day Mortality in Adults Undergoing Hip Fracture Surgery.
Pincus D, Ravi B, Wasserstein D, Huang A, Paterson JM, Nathens AB, Kreder HJ, Jenkinson RJ, Wodchis WP.
JAMA. 2017 Nov 28;318(20):1994-2003.

Rationale for inclusion: Retrospective cohort study of 72 Canadian hospitals finding increased wait time until hip surgery was associated with adverse outcomes.

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Effect of comorbidities and postoperative complications on mortality after hip fracture in elderly people: prospective observational cohort study.
Roche JJ, Wenn RT, Sahota O, Moran CG.
BMJ. 2005 Dec 10;331(7529):1374.

Rationale for inclusion: In elderly patients with hip fractures, 3 or more comorbidities is associated with mortality.

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Efficacy of a comprehensive geriatric intervention in older patients hospitalized for hip fracture: a randomized, controlled trial.
Vidán M, Serra JA, Moreno C, Riquelme G, Ortiz J.
J Am Geriatr Soc. 2005 Sep;53(9):1476-82.

Rationale for inclusion: Early multidisciplinary daily geriatric care can reduce in-hospital mortality and medical complications in elderly hip fracture patients.

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Frailty: emergence and consequences in women aged 65 and older in the Women's Health Initiative Observational Study.
Woods NF, LaCroix AZ, Gray SL, Aragaki A, Cochrane BB, Brunner RL, Masaki K, Murray A, Newman AB; Women's Health Initiative.
J Am Geriatr Soc. 2005 Aug;53(8):1321-30.

Rationale for inclusion: Frailty is a geriatric syndrome that predicts poor outcomes in older women.

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Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study.
Boonen S, Autier P, Barette M, Vanderschueren D, Lips P, Haentjens P.
Osteoporos Int. 2004 Feb;15(2):87-94.

Rationale for inclusion: Women who sustain a hip fracture continue to suffer from substantial functional impairment and loss in QoL at 1 year, despite a significant recovery during this 12-month period. Function upon hospital discharge is the strongest predictor of functional status 1 year later.

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Traumatic brain injury in the elderly: increased mortality and worse functional outcome at discharge despite lower injury severity.
Susman M, DiRusso SM, Sullivan T, Risucci D, Nealon P, Cuff S, Haider A, Benzil D.
J Trauma. 2002 Aug;53(2):219-23; discussion 223-4.

Rationale for inclusion: Elderly patients have worse outcomes than non-elderly patients with TBI despite lower injury severity.

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Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome.
Mosenthal AC, Lavery RF, Addis M, Kaul S, Ross S, Marburger R, Deitch EA, Livingston DH.
J Trauma. 2002 May;52(5):907-11.

Rationale for inclusion: Age is an independent predictor of mortality in TBI.

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Geriatric falls: injury severity is high and disproportionate to mechanism.
Sterling DA, O'Connor JA, Bonadies J.
J Trauma. 2001 Jan;50(1):116-9.

Rationale for inclusion: Same-level falls in elderly can result in high injury severity.

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Geriatric blunt multiple trauma: improved survival with early invasive monitoring.
Scalea TM, Simon HM, Duncan AO, Atweh NA, Sclafani SJ, Phillips TF, Shaftan GW.
J Trauma. 1990 Feb;30(2):129-34; discussion 134-6.

Rationale for inclusion: Invasive monitoring (PA catheter placement) in geriatric trauma patients with efforts to optimize cardiac function led to improved survival.

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Risk factors for falls among elderly persons living in the community.
Tinetti ME, Speechley M, Ginter SF.
N Engl J Med. 1988 Dec 29;319(26):1701-7.

Rationale for inclusion: Falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.

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