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Outcomes of trauma in centenarians.

机译：百岁老人的创伤结果。

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INTRODUCTION: We present the first study specifically investigating outcomes of centenarian (age>100 years) trauma patients. MATERIALS AND METHODS: We conducted a retrospective cohort study over a 2-year period using data from patients' notes. Inclusion criteria were: admission to Poole Hospital, age of 100 years old or greater and history of sustaining trauma. RESULTS: We used the hospital CaMIS database to identify patients aged 100 years and over who had incurred an injury. 24 patients met the entry criteria for the study: accounting for 26 admission episodes. 23 patients were female and 13 had sustained a fractured neck of femur. 10 patients underwent surgery and the rest were managed non-operatively. There were five inpatient deaths and the majority of the discharged patients returned to their original place of residence following treatment and rehabilitation. Overall mortality at 1 year was 10 out of 24. DISCUSSION: Our increasingly elderly population is leading to a growing burden upon the NHS. Admission of the extreme elderly trauma patient is becoming more commonplace and presents us with difficult management decisions. Orthopaedic/geriatric collaborative care is now the norm and should continue to develop and improve in the future. CONCLUSION: The extreme elderly should be afforded the same consideration for operative treatment as younger patients and that age alone should not be relied upon as a determinant of treatment and management in these patients.
机译：简介：我们提出了第一个专门研究百岁老人（年龄> 100岁）创伤患者结局的研究。材料与方法：我们使用患者笔记中的数据进行了为期2年的回顾性队列研究。入选标准为：入院普尔医院，年龄100岁或以上，有持续创伤史。结果：我们使用了医院的CaMIS数据库来识别100岁及以上受伤的患者。 24名患者符合研究的进入标准：占26例入院发作。 23例为女性，13例股骨颈骨折。 10例患者接受了手术，其余患者均未进行手术治疗。有五名住院病人死亡，大部分出院的病人经过治疗和康复后返回了原来的住所。 1年的总死亡率是24的10。讨论：我们日益老龄的人口正导致NHS的负担日益增加。极端创伤患者的入院变得越来越普遍，这给我们带来了艰难的管理决策。骨科/老年病合作治疗现已成为常态，将来应继续发展和改善。结论：极端老年人应与年轻患者一样接受手术治疗，并且不应仅依靠年龄作为这些患者治疗和管理的决定因素。

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