Biblioteca Hospital 12 de Octubre

Age-related injury patterns in Spanish trauma ICU patients. Results from the RETRAUCI. (Registro nro. 17529)

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Campo de control de longitud fija nab a22 7a 4500
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Campo de control PC17529
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Campo de control 20230623132513.0
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Campo de control de longitud fija 230623b xxu||||| |||| 00| 0 eng d
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Centro transcriptor H12O
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Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
9 (RLIN) 403
Nombre de persona Chico Fernández, Mario
Término indicativo de función Medicina Intensiva
245 00 - MENCIÓN DE TÍTULO
Título Age-related injury patterns in Spanish trauma ICU patients. Results from the RETRAUCI.
Tipo de material [artículo]
Mención de responsabilidad etc.
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Nombre del editor distribuidor etc. Injury,
Fecha de publicación distribución etc. 2016
Lugar de publicación distribución etc.
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Extensión 47 Suppl 3:S61-S65.
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Nota general Formato Vancouver:
Llompart Pou JA, Chico Fernández M, Sánchez Casado M, Alberdi Odriozola F, Guerrero López F, Mayor García MD et al; Trauma Neurointensive Care Working Group of the Spanish Society of Intensive Care Medicine (SEMICYUC). Age-related injury patterns in Spanish trauma ICU patients. Results from the RETRAUCI. Injury. 2016 Sep;47 Suppl 3:S61-S65.
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Nota de "Con" PMID: 27692109
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Nota de bibliografía etc. Contiene 25 referencias
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Sumario etc. Background: Injury patterns may differ in trauma patients when age is considered. This information is relevant in the management of trauma patients and for planning preventive measures.
Methods: We included in the study all patients admitted for traumatic disease in the participating ICUs from November 23rd, 2012 to July 31st, 2015 with complete records. Data on epidemiology, injury patterns, severity scores, acute management, resources utilisation and outcome were recorded and compared in the following groups of age: ≤55years (young adults), 56-65 years (adults), 66-75 years (elderly), >75years (very elderly). Quantitative data were reported as median (Interquartile Range (IQR) 25-75) and categorical data as number and percentage. Comparison between groups of age with quantitative variables was performed using the analysis of variance (ANOVA) test. Differences between groups with categorical variables were compared using the chi-square test. A value of p<0.05 was considered significant.
Results: We included 2700 patients (78.9% male). Median age was 46 (31-62) years. Blunt trauma was present in 93.7% of the patients. Median RTS was 7.55 (5.97-7.84). Median ISS was 20 (13-26). High-energy trauma secondary to motor-vehicle accident with rhabdomyolysis and drugs abuse showed an inverse linear association with ageing, whilst pedestrian falls with isolated brain injury, being run-over and pre-injury antiplatelets or anticoagulant treatment increased with age (in all cases p<0.001). Multiple injuries were more common in young adults (p<0.001). Acute kidney injury prevalence was higher in elderly and very elderly patients (p<0.001). ICU Mortality increased with age in spite of similar severity scores in all groups (p<0.001). The main cause of death in all groups was intracranial hypertension.
Conclusions: Different injury patterns exist in relation with ageing in trauma ICU patients. Adult patients were more likely to present high-energy trauma with significant injuries in different areas whilst elderly patients were prone to low-energy falls, complicated by antiplatelets or anticoagulants use, resulting in severe brain injury and increased mortality.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 1283
Nombre de entidad o nombre de jurisdicción como elemento inicial Unidad de Cuidados Intensivos de Trauma y Emergencias
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Identificador Uniforme del Recurso (URI) http://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc17529.pdf
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          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2023-06-23 PC17529 2023-06-23 2023-06-23 Artículo

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