An Assessment of BAT in Elderly Patients
| Main Author: | Agron Dogjani |
|---|---|
| Format: | Article |
| Bahasa: | sqi |
| Terbitan: |
, 2011
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/5509963 |
Daftar Isi:
- Introduction; The elderly population (over 65 years) has suffered a steady rise in our country as a result of increased long-lived this part of the population continues to increase faster than the age (under 65 years). [1] However, in the last decade, the growth rate was 12% in this age group compared with 13.2% growth with total population growth. In the U.S. this age group in 1900 accounted for 4% of the total population while in 2000 it occupies 13.2% of it. [2] This figure is expected to be 20.4% in 2050, and 40% of all trauma victims are expected to be in this age group. [3] is now clearly shown that the EP have a less favorable performance than patients in younger age after a BAT this path-physiological changes due to age, physiological reserves limited, and additional associated chronic diseases typical for this age [4.5.6]. The aim; is to make known the BAT in EP making them comparable with the rest of the population, and extraction out of the factors that are specific to these age groups to make our work easier every day. Material and Methods; This study is comparative and it has a retrospective character that analyzes for three-month all the patients who were admitted to UMCH and NTC in Tirana in the second “three months” of 2010. We divided the patients into two groups: BAT in adults (BAT-a, 18-65 years); BAT in EP (BAT- e that includes over 65 years). Are excluded all patients who presented dead or died in the first minutes after arrival in the emergency. Variable that was analyzed: the mechanism of trauma; hypotension (SBP ≤ 99 mm Hg) on arrival; the ALLGOWER formula - Ratio HR / SBP; ISS (Injury severity score), RTS (revised trauma score), GCS (Glasgow Coma Scale score), the time of presentation to hospital, etc... As a result of the measurements is made: mortality and patient survival, their hospital stay, etc. The data were then divided into three groups according to the gravity of injuries ISS; Group A includes those patients with ISS <15; Group B – ISS - 15-25; Group C - ISS > 25. The data you became a descriptive statistical analysis, average, standard deviation, estimates W and M, t-test, p-value, and Chi-square. A P value less than 0.05 is significantly considered ... Conclusions: BAT-a is very difficult to estimate due to path-physiological changes of age, limited physiological reserves, and the additional accompanying chronic diseases before the trauma, which makes the evaluation and treatment of these patients more than a challenge for every general surgeon or any trauma team. The treatment of this contingent requires a more aggressive initial therapy after trauma in this age represents fairly high mortality. This calls for co-working with the sector geriatric for a deeper recognition of problems and perhaps carries this age makes it necessary to take into account population of this layer all the problems that it carries in all the fields if we succeed in our work.