Injury patterns and outcomes in late middle age (55–65): The intersecting comorbidity with high-risk activity – A retrospective cohort study
Background Late middle age (LMA), is a watershed between youth and old age, with unique physical and social changes and declines in vitality, but a desire to remain active despite increasing comorbidity. While post-injury outcomes in the elderly are well studied, little is known regarding LMA patients. We analyzed the injured LMA population admitted to a rural, regional Level 1 Trauma Center relative to outcomes for both younger and older patients. Materials and methods Our registry was queried retrospectively for patients admitted 7/2008- 12/2015; they were divided into three cohorts: 18–54, 55–65, and >65 years. Demographics, injury details, comorbidities, and outcomes were compiled and compared using ANOVA and Chi-square; p Results During the study period, 10,543 were admitted; 1419 (14%) were LMA who experienced overall injury mechanisms, severities and patterns that mirrored the younger cohort. However comorbidity rates were high (56.4%) and comparable to the elderly. LMA patients had the highest rates of alcohol abuse, morbid obesity, and psychiatric illness (p Conclusions The LMA population has similar mechanisms and injury patterns to younger patients, while exhibiting comorbidity rates similar to the elderly. High-energy injuries exact a greater toll in LMA with poorer outcomes and greater resource utilization. Targeted outreach for injury prevention, and future studies, are needed to address high-risk behavior, substance abuse, and societal contributors. Highlights • Injury mechanisms, severity and patterns for LMA patients mirrored the younger cohort. • LMA comorbidity rates were very high (56.4%) and comparable to elderly patients. • LMA patients had the highest rates of alcohol abuse, morbid obesity, and psychiatric illness. • LMA patients had the overall poorest outcomes: highest complications, charges, and length of stay.
- DOI : http://dx.doi.org/10.1016/j.amsu.2018.01.005
- PubMed Central : 저널 > https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832647
- Elsevier Health : 저널
- Elsevier : 저널
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