Geriatric assault victims treated at U.S. trauma centers: Five-year analysis of the national trauma data bank |
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| Affiliation: | 1. Division of Emergency Medicine, Weill Cornell Medical College, New York, NY, United States;2. University of Colorado Medical School, Aurora, CO, United States;3. Division of Geriatric and Palliative Medicine, Weill Cornell Medical College, New York, NY, United States;4. National Center for Injury Prevention and Control, Centers for Disease Control, Atlanta, GA, United States;5. Department of Surgery, Weill Cornell Medical College, New York, NY, United States;1. Academic Department of Trauma and Orthopaedics, Floor A, Clarendon Wing, LGI, University of Leeds, Leeds, UK;2. NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, Leeds, UK;1. Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, South Korea;2. Department of Mathematics, College of Natural Science, Ajou University, Gyeonggi, South Korea;1. Laboratory of Human Anatomy, Thomson Building, School of Life Sciences, College of Medical, Veterinary and Life Sciences, Univeristy of Glasgow, UK;2. Department of Trauma and Orthopaedics, Queen Elizabeth University Hospital, UK;1. Division of Orthopaedics and Trauma Surgery, University Hospitals of Geneva, Geneva, Switzerland;2. Center for Surgery of the Foot & Ankle, Clinique La Colline, Geneva, Switzerland;3. Division of Anatomy, University of Geneva Medical Center, Geneva, Switzerland;4. Faculté de Médecine, University of Geneva Medical Center, Geneva, Switzerland;1. St. Alphonsus Regional Medical Center, 901 N. Curtis Rd., Ste 501, Boise, ID 83706, United States;2. OrthoIndy Trauma, St. Vincent Trauma Center, Indianapolis, IN, United States;1. Department of Surgery, University of Calgary, Calgary, Alberta, Canada;2. Department of Surgery, University of California, San Francisco, CA, United States |
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| Abstract: | ![]()
IntroductionWhile geriatric trauma patients have begun to receive increased attention, little research has investigated assault-related injuries among older adults. Our goal was to describe characteristics, treatment, and outcomes of geriatric assault victims and compare them both to geriatric victims of accidental injury and younger assault victims.Patients and methodsWe conducted a retrospective analysis of the 2008–2012 National Trauma Data Bank. We identified cases of assault-related injury admitted to trauma centers in patients aged ≥60 using the variable “intent of injury.”Results3564 victims of assault-related injury in patients aged ≥60 were identified and compared to 200,194 geriatric accident victims and 94,511 assault victims aged 18–59. Geriatric assault victims were more likely than geriatric accidental injury victims to be male (81% vs. 47%) and were younger than accidental injury victims (67 ± 7 vs. 74 ± 9 years). More geriatric assault victims tested positive for alcohol or drugs than geriatric accident victims (30% vs. 9%). Injuries for geriatric assault victims were more commonly on the face (30%) and head (27%) than for either comparison group. Traumatic brain injury (34%) and penetrating injury (32%) occurred commonly. The median injury severity score (ISS) for geriatric assault victims was 9, with 34% having severe trauma (ISS ≥ 16). Median length of stay was 3 days, 39% required ICU care, and in-hospital mortality was 8%. Injury severity was greater in geriatric than younger adult assault victims, and, even when controlling for injury severity, in-hospital mortality, length of hospitalization, and need for ICU-level care were significantly higher in older adults.ConclusionsGeriatric assault victims have characteristics and injury patterns that differ significantly from geriatric accidental injury victims. These victims also have more severe injuries, higher mortality, and poorer outcomes than younger victims. Additional research is necessary to improve identification of these victims and inform treatment strategies for this unique population. |
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| Keywords: | Violence Assault Elder abuse Geriatric trauma |
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