کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4291479 1612227 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Comparison of Two Comorbidity Scoring Systems for Older Adults with Traumatic Injuries
ترجمه فارسی عنوان
مقایسه دو سیستم امتیاز دهی همرنگی برای بزرگسالان سالمند با آسیب های تروماتیک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundThe purpose of this study was to determine the mortality predictive value of two different comorbidity scores, Comorbidity–Polypharmacy Score (CPS) and Charlson scoring system, in a large sample of older trauma patients.Study DesignAt an urban tertiary care Level I trauma center, trauma patients aged 55 years and older who were initially admitted to critical care were included. This retrospective chart review was conducted at Harborview Medical Center in Seattle, WA. Older trauma patients admitted from January 1, 2010 through December 31, 2010 were screened for inclusion. One-year mortality data were obtained from the Washington State Department of Health. Covariates included age, presence of hypotension, traumatic brain injury, and Injury Severity Score.ResultsRecords for 667 older trauma patients were reviewed. In multivariate analyses, CPS was an independent predictor of fatal outcomes. Higher CPS was associated with greater mortality, however, it was not superior to Charlson methodology in predicting 1-year mortality in this patient cohort.ConclusionsThe addition of a comorbidity score improves multivariate models predicting long-term mortality in older trauma patients. There was no advantage to using CPS instead of Charlson score, and each was an independent predictor of fatal outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American College of Surgeons - Volume 219, Issue 4, October 2014, Pages 631–637
نویسندگان
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