title: Traumatic liver injuries in the elderly as compared to younger adults.
abstract: BACKGROUND
  Comparing elderly (> 55 years) and younger (< 55 and > 15 years) traumatic liver injury patients, we evaluated differences in the need for operative intervention as well as transfusion requirements in those treated non-operatively.
  
  
  METHODS
  This was a retrospective cohort study of adult patients with liver trauma. The analyses evaluated overall adjusted differences in treatment option and packed red blood utilization in those treated non-operatively by age group.
  
  
  RESULTS
  841 patients were included. 83 were elderly. Operative management occurred in 13% and 12% of the younger adults and elderly patients, respectively. After adjustment, age group was not significantly associated with treatment option. In the non-operative setting, elderly patients had twice the red blood cell transfusion requirement as compared to younger adults.
  
  
  CONCLUSIONS
  Age does not play a role in considering the need for surgical intervention in patients with liver trauma. However, the geriatric population has twice the transfusion requirement in the non-operative setting.
authors: Alexander
authors: A
authors: Raines
authors: Tabitha
authors: T
authors: Garwe
authors: Ademola
authors: A
authors: Adeseye
authors: Emily
authors: E
authors: Benham
authors: Veronica
authors: V
authors: Worrell
authors: William
authors: W
authors: Havron
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001803:Blood Transfusion / Q000379:methods / Q000706:statistics & numerical data*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008099:Liver / Q000293:injuries* / Q000601:surgery*; D008107:Liver Diseases / Q000628:therapy*; D008297:Male; D012189:Retrospective Studies