Trauma in the elderly in Trinidad and Tobago: a cross-sectional study

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Naraynsingh, R. ; Sammy, I. ; Paul, J.F. ; Nunes, P. (2015)
  • Publisher: Lippincott, Williams & Wilkins
  • Subject:
    mesheuropmc: humanities

Little is known about trauma in the elderly in the developing world. This study compared injuries in older patients with those in younger adults in a Third World setting. This was a prospective observational study of trauma admissions to a tertiary hospital in Trinidad, comparing injury characteristics and patient outcomes in older versus younger adults. Falls were the most common mechanism of injury in the elderly, accounting for 71% of injuries. Older patients who fell sustained fractures more often and were most likely to injure the limbs and head. Elderly patients were more likely to be admitted to hospital. Trauma in the elderly in Trinidad is similar to that in the developed world. Public health measures in developing countries should be aimed at preventing falls in older persons. The burden of trauma in the elderly is likely to increase in developing countries as the population ages.
  • References (10)

    1 United Nations. World population ageing 1950-2050. Available at: http:// www.un.org/esa/population/publications/worldageing19502050/ Executivesummary_English.pdf. [Accessed 1 March 2014].

    2 World Health Organisation. Trinidad and Tobago health situation analysis and trends summary. Available at: http://www1.paho.org/English/DD/AIS/cp_ 780.htm. [Accessed 1 March 2014].

    3 Howard JK, Oraskovich MR, Copass MK, Carrico CJ. Geriatric trauma: injury patterns and outcome. J Trauma 1983; 23:643.

    4 Clement N, Tennant C, Muwanga C. Polytrauma in the elderly: predictors of the cause and time of death. Scand J Trauma Resusc Emerg Med 2010; 18:26.

    5 Yeung JHH, Chang ALM, Ho W, So FL, Graham CA, Cheng B, et al. High risk trauma in older adults in Hong Kong: a multicentre study. Injury 2008; 39:1034-1041.

    6 Broska CA Jr, de Folchini AB, de Ruediger RR. Comparative study of trauma in the elderly and non-elderly patients in a University Hospital in Curitiba. Rev Col Bras Cir 2013; 40:281-286.

    7 Gowing R, Jain M. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surg 2007; 50:437-444.

    8 Aitken LM, Burmeister E, Lang J, Chaboyer W, Richmond TS. Characteristics and outcomes of injured older adults after hospital admission. J Am Geriatr Soc 2010; 58:442-449.

    9 Spaniolas K, Cheng JD, Gestring ML, Sangosanya A, Stassen NA, Bankey PE. Ground level falls are associated with significant mortality in elderly patients. J Trauma 2010; 69:821-825.

    10 Mosenthal AC, Livingston DH, Elcavage J, Merritt S, Stucker S. Falls: epidemiology and strategies for prevention. J Trauma 1995; 38:753-756.

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