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Zeitschrift für Gerontologie und Geriatrie

Erschienen in:

01.03.2021 | Themenschwerpunkt

Towards improving prehospital triage for older trauma patients

verfasst von: Abdullah Alshibani, Boris Singler, Simon Conroy

Erschienen in: Zeitschrift für Gerontologie und Geriatrie | Ausgabe 2/2021

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Abstract

Background

The proportion of older adults with major trauma is increasing. High-quality care for this population requires accurate and effective prehospital trauma triage decisions.

Objective

Anatomical and physiological changes with age, comorbidities, and medication use for older adults may affect the accuracy of prehospital trauma triage.

Material and methods

This narrative review focusses on age-related anatomical and physiological changes, comorbidities, and medication use for older adults with an emphasis on their impact on the accuracy of prehospital trauma triage tools. It also addresses the efforts to develop alternative triage criteria to reduce undertriage.

Results

Age-related anatomical and physiological changes, comorbidities, and medication use were shown to affect physiological responses to injury and mechanism of injury for older people. Current triage tools poorly predicted injury severity. Geriatric-specific physiological measures and comorbidities significantly improved sensitivity with much lower specificity. Assessing anticoagulant or antiplatelet use in head injury notably improved sensitivity to identify traumatic intracranial hemorrhage, neurosurgery or death with modest decrease in specificity.

Conclusion

Improving prehospital providers’ knowledge about the challenges of assessing older people with trauma may reduce undertriage. Assessing frailty could help in improving prehospital providers’ judgments. Future research is needed to improve triage decisions for this population.

Vorheriger Artikel Patient-reported outcome and experience measures in geriatric emergency medicine

Nächster Artikel Diagnostic efficacy of bedside ultrasound to detect dehydration in older patients attending an emergency care unit

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Titel: Towards improving prehospital triage for older trauma patients
verfasst von: Abdullah Alshibani
Boris Singler
Simon Conroy
Publikationsdatum: 01.03.2021
Verlag: Springer Medizin
Erschienen in: Zeitschrift für Gerontologie und Geriatrie / Ausgabe 2/2021
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269
DOI: https://doi.org/10.1007/s00391-021-01844-4

Springerpflege

Abstract

Background

Objective

Material and methods

Results

Conclusion

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