Medicolegal Evaluation of Elderly Trauma Patients
DOI:
https://doi.org/10.17986/blm.2016116596Keywords:
trauma, geriatric, forensic case, injuryAbstract
Objective: The human body loses flexibility and durability from the pathophysiological changes of aging; therefore, trauma and the risk of injury increase in geriatric individuals. Elderly patients who have been admitted to health centers with trauma and injury require a serious treatment approach.
Materials and Methods: A total of 15851 victims who were admitted to Bursa Branch of the Council of Forensic Medicine of the Ministry of Justice between 01/01/2011 and 31/12/2011 were retrospectively evaluated, and 207 of them, who were trauma patients aged 65 years and over, were included in this study. All cases were evaluated according to the cause of the injury, localization of the trauma, bone fractures and type of medical treatment.
Results: Two hundred nineteen of the total 15851 forensic patients were 65 years and older. Of these 219 cases, 207 (94.5%) had been exposed to trauma. Of these 207 cases, 138 (66.7%) were male, and 69 (33.3%) were female. The most common types of trauma were physical assault (n=136) and motor vehicle accidents (n=56), which occurred at rates of 65.7% and 27.1%, respectively. For the trauma victims, head injury was the most commonly affected body region. Ninety-seven patients were treated conservatively (46.9%), and 43 patients were treated surgically (20.8%). Traumatic bone injury (31%) was detected in 64 patients.
Conclusion: The results of our study indicate that most of the geriatric victims were admitted to the medical centers with traumatic causes. Thus, it is necessary to increase our social sensitivity to trauma and the ways in can be prevented in the geriatric age group.
Key words: Trauma; Geriatric; Forensic case; Injury.
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References
http://www.who.int/healthinfo/survey/ageingdefnolder/en (Dec 18, 2015)
http://www.tuik.gov.tr/PreHaberBultenleri.do?id=16057 (Dec 18, 2015) DOI: https://doi.org/10.1039/C6CP90151D
Runciman P, Currie CT, Nicol M et al. Discharge of elderly people from an accident and emergency department: evaluation of health visitor follow-up. J Adv Nurs 1996; 24:711-8. DOI: https://doi.org/10.1046/j.1365-2648.1996.02479.x
Schwab CW, Kauder DR. Trauma in the geriatric patient. Arch Surg. 1992; 127(6):701-6. DOI: https://doi.org/10.1001/archsurg.1992.01420060077011
Ma OJ, DeBehnke DJ. Geriatric trauma. In: Tintinalli J, Kelen GD, Stapcznski JS, editors. Emergency Medicine, A comprehensive Study Guide, 5th ed. New York: McGraw-Hill; 1999.p.1623-7.
Rubenstein LA, Robbins AS, Josephson KR. The value of assessing falls in an elderly population – A randomized clinical trial. Ann İntern Med 1990; 15:113-308. DOI: https://doi.org/10.7326/0003-4819-113-4-308
Baum SA, Rubenstein LZ. Old people in the emergency room: age-related differences in emergency department use and care. J A Geriatr Soc 1987; 35(5):398-404. DOI: https://doi.org/10.1111/j.1532-5415.1987.tb04660.x
İkizceli İ, Sözüer EM, Bedirli A, Yıldırım C, Günay N, Yürümez Y. Multitravmalı hastaların prognozunu belirlemede yaş faktörü. Turkish Journal of Trauma and Emergency Surgery 1999; 5(1):40-2.
Ünsal A, Çevik AA, Metintaşı S, Arslantaşı D, İnan OÇ. Yaşlı hastaların acil servise başvuruları. Geriatri 2003; 6(3):83-88.
Kök AN, Özturk S. Tunalı İ. Yatarak Tedavi Gören 959 Adli Vakanın Retrospektif Değerlendirilmesi. J For Med. 1992; 8(1-2-3-4): 93-98.
Polat O, İnanıcı MA, Aksoy ME. Adli Tıp Ders Kitabı. Nobel Tıp Kitapevi 1997; 140-141, 175-176.
Elder Abuse and Neglect, Recognizing Elder Abuse. http://www.oactrees.org/elder.
Walsh CA, Yon Y. Developing an empirical profile for elder abuse research in Canada. J Elder Abuse Negl. 2012; 24(2):104-19. DOI: https://doi.org/10.1080/08946566.2011.644088
Switzer JA, Michienzi AE. Elder abuse: an update on prevalence, identification, and reporting for the orthopaedic surgeon. J Am Acad Orthop Surg. 2012; 20(12):788-94. DOI: https://doi.org/10.5435/JAAOS-20-12-788
Bilgin NG, Mert E. The Characteristics of Geriatric Forensic Cases. Turkish Journal of Geriatrics 2005; 8(1): 13-16.
Kandiş H, Karakuş A, Katırcı Y, Karapolat S, Kara İH. Geriatric population and forensic traumas. Turkish Journal of Geriatrics 2011; 14(3) 193-198.
Güneytepe Üİ, Aydin ŞA, Gökgöz Ş, Özgüç H, Ocakoğlu G, Aktaş H. Factors affecting mortality and scoring systems in elderly trauma patients. Uludağ Medical Journal 2008. 34 (1) 15-19.
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