title: High-energy skeletal trauma in the elderly.
abstract: Despite the increasing prevalence of high-energy skeletal trauma in the elderly (i.e., sixty years or older), there is a lack of prospective data regarding best care for these injuries.Elderly patients with multiple injuries are often undertriaged to trauma centers and underresuscitated.Aggressive early resuscitation can improve outcomes in elderly patients who have sustained skeletal trauma.Comanagement by orthopaedic surgeons and geriatricians of elderly patients with skeletal trauma can lead to a lower length of hospital stay, lower readmission rates, shorter time to operation, lower complication rates, and lower mortality.
authors.affiliation: Division of Orthopaedic Trauma, University of Minnesota-Regions Hospital, 640 Jackson Street, St. Paul, MN 55101, USA. Julie.A.Switzer@HealthPartners.com
authors.forename: Julie A
authors.initials: JA
authors.lastname: Switzer
authors.forename: Steven R
authors.initials: SR
authors.lastname: Gammon
mesh_terms: D000058:Accidental Falls / Q000401:mortality; D000063:Accidents, Traffic / Q000401:mortality / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D005592:Fracture Fixation / Q000379:methods / Q000401:mortality; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000401:mortality* / Q000601:surgery*; D015577:Geriatric Assessment; D017052:Hospital Mortality / Q000639:trends*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery; D020380:Needs Assessment; D011859:Radiography; D012151:Resuscitation / Q000401:mortality / Q000706:statistics & numerical data*; D018570:Risk Assessment; D016019:Survival Analysis; D014193:Trauma Centers; D014218:Triage; D014481:United States; D055815:Young Adult