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Turkish Journal of Medical Sciences

Author ORCID Identifier

MEHMET ÇETİN: 0000-0001-5471-2239

NECATİ SOLAK: 0000-0003-1046-5410

BÜŞRA ÖZDEMİR ÇİFLİK: 0000-0002-8677-1142

İLTERİŞ TÜRK: 0000-0001-6385-4722

SEBAHATTİN ERMANCIK: 0000-0002-7090-4457

KORAY AYDOĞDU: 0000-0003-1379-2855

DOI

10.55730/1300-0144.5880

Abstract

Background/aim: The rise in the proportion of the elderly population within society is concurrently escalating their vulnerability to traumas, notably falls associated with age-related comorbidities.Materials and Methods: The retrospective analysis involved the examination of data pertaining to patients aged 65 and above who were admitted to our clinic for inpatient treatment following thoracic trauma. Various parameters were statistically compared between the groups with indoor and outdoor traumas.Results: 59.4% of the 261 patients included in the study were male, and the average age in the entire sample was calculated as 75.52±7.79. 136 patients (52%) had indoor trauma, while 125 (48%) had outdoor trauma. The mean value for all patients on the Itaki FRS II Scale was found to be 11.04±4.18. In indoor accidents, the Itaki scale score was significantly higher at 11.90±4.34 compared to outdoor accidents (10.10±3.78) (p < 0.001). Additionally, in outdoor accidents, the absence of fall history and low risk according to the Itaki scale were found to be higher compared to indoor accidents, with a significant difference observed (p< 0.001). In geriatric trauma cases occurring outdoors, bilateral rib fractures and extrathoracic findings were significantly more prevalent (p=0.011, 0.010). The majority of patients were followed up without any surgical intervention (73.9%), the most common surgical interventions were catheter (10.3%) and tube thoracostomy (10.3%), and 1.5% of the patients required surgical exploration. Trauma resulted in mortality in 1.5% of patients.Conclusion: In the future, specialized measures and prospective studies tailored to the geriatric population, which will constitute the largest demographic segment of our society, can facilitate the prevention of trauma-related morbidity and mortality, including associated financial costs.

Keywords

Geriatrics, Itaki Fall Risk Scale, rib fracture, thoracic trauma

First Page

1013

Last Page

1020

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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