Mortality after trauma laparotomy in geriatric patients

Bellal Joseph, Bardiya Zangbar, Viraj Pandit, Narong Kulvatunyou, Ansab Haider, Terence OKeeffe, Mazhar Khalil, Andrew Tang, Gary Vercruysse, Lynn Gries, Randall S. Friese, Peter Rhee

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background Geriatric patients are at higher risk for adverse outcomes after injury because of their altered physiological reserve. Mortality after trauma laparotomy remains high; however, outcomes in geriatric patients after trauma laparotomy have not been well established. The aim of our study was to identify factors predicting mortality in geriatric trauma patients undergoing laparotomy. Methods A retrospective study was performed of all trauma patients undergoing a laparotomy at our level 1 trauma center over a 6-y period (2006-2012). Patients with age ≥55 y who underwent a trauma laparotomy were included. Patients with head abbreviated injury scale (AIS) score ≥ 3 or thorax AIS ≥ 3 were excluded. Our primary outcome measure was mortality. Significant factors in univariate regression model were used in multivariate regression analysis to evaluate the factors predicting mortality. Results A total of 1150 patients underwent a trauma laparotomy. Of which 90 patients met inclusion criteria. The mean age was 67 ± 10 y, 63% were male, and median abdominal AIS was 3 (2-4). Overall mortality rate was 23.3% (21/90) and progressively increased with age (P = 0.013). Age (P = 0.02) and lactate (P = 0.02) were the independent predictors of mortality in geriatric patients undergoing laparotomy. Conclusions Mortality rate after trauma laparotomy increases with increasing age. Age and admission lactate were the predictors of mortality in geriatric population undergoing trauma laparotomies.

Original languageEnglish (US)
Pages (from-to)662-666
Number of pages5
JournalJournal of Surgical Research
Volume190
Issue number2
DOIs
StatePublished - Jan 1 2014

Fingerprint

Geriatrics
Laparotomy
Mortality
Wounds and Injuries
Abbreviated Injury Scale
Lactic Acid
Abdominal Injuries
Trauma Centers
Craniocerebral Trauma
Thorax
Multivariate Analysis
Retrospective Studies
Regression Analysis
Outcome Assessment (Health Care)
Population

Keywords

  • Age
  • Complications
  • Geriatric trauma
  • Lactate
  • Mortality
  • Trauma laparotomy

ASJC Scopus subject areas

  • Surgery

Cite this

Joseph, B., Zangbar, B., Pandit, V., Kulvatunyou, N., Haider, A., OKeeffe, T., ... Rhee, P. (2014). Mortality after trauma laparotomy in geriatric patients. Journal of Surgical Research, 190(2), 662-666. https://doi.org/10.1016/j.jss.2014.01.029

Mortality after trauma laparotomy in geriatric patients. / Joseph, Bellal; Zangbar, Bardiya; Pandit, Viraj; Kulvatunyou, Narong; Haider, Ansab; OKeeffe, Terence; Khalil, Mazhar; Tang, Andrew; Vercruysse, Gary; Gries, Lynn; Friese, Randall S.; Rhee, Peter.

In: Journal of Surgical Research, Vol. 190, No. 2, 01.01.2014, p. 662-666.

Research output: Contribution to journalArticle

Joseph, B, Zangbar, B, Pandit, V, Kulvatunyou, N, Haider, A, OKeeffe, T, Khalil, M, Tang, A, Vercruysse, G, Gries, L, Friese, RS & Rhee, P 2014, 'Mortality after trauma laparotomy in geriatric patients', Journal of Surgical Research, vol. 190, no. 2, pp. 662-666. https://doi.org/10.1016/j.jss.2014.01.029
Joseph B, Zangbar B, Pandit V, Kulvatunyou N, Haider A, OKeeffe T et al. Mortality after trauma laparotomy in geriatric patients. Journal of Surgical Research. 2014 Jan 1;190(2):662-666. https://doi.org/10.1016/j.jss.2014.01.029
Joseph, Bellal ; Zangbar, Bardiya ; Pandit, Viraj ; Kulvatunyou, Narong ; Haider, Ansab ; OKeeffe, Terence ; Khalil, Mazhar ; Tang, Andrew ; Vercruysse, Gary ; Gries, Lynn ; Friese, Randall S. ; Rhee, Peter. / Mortality after trauma laparotomy in geriatric patients. In: Journal of Surgical Research. 2014 ; Vol. 190, No. 2. pp. 662-666.
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abstract = "Background Geriatric patients are at higher risk for adverse outcomes after injury because of their altered physiological reserve. Mortality after trauma laparotomy remains high; however, outcomes in geriatric patients after trauma laparotomy have not been well established. The aim of our study was to identify factors predicting mortality in geriatric trauma patients undergoing laparotomy. Methods A retrospective study was performed of all trauma patients undergoing a laparotomy at our level 1 trauma center over a 6-y period (2006-2012). Patients with age ≥55 y who underwent a trauma laparotomy were included. Patients with head abbreviated injury scale (AIS) score ≥ 3 or thorax AIS ≥ 3 were excluded. Our primary outcome measure was mortality. Significant factors in univariate regression model were used in multivariate regression analysis to evaluate the factors predicting mortality. Results A total of 1150 patients underwent a trauma laparotomy. Of which 90 patients met inclusion criteria. The mean age was 67 ± 10 y, 63{\%} were male, and median abdominal AIS was 3 (2-4). Overall mortality rate was 23.3{\%} (21/90) and progressively increased with age (P = 0.013). Age (P = 0.02) and lactate (P = 0.02) were the independent predictors of mortality in geriatric patients undergoing laparotomy. Conclusions Mortality rate after trauma laparotomy increases with increasing age. Age and admission lactate were the predictors of mortality in geriatric population undergoing trauma laparotomies.",
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AU - Zangbar, Bardiya

AU - Pandit, Viraj

AU - Kulvatunyou, Narong

AU - Haider, Ansab

AU - OKeeffe, Terence

AU - Khalil, Mazhar

AU - Tang, Andrew

AU - Vercruysse, Gary

AU - Gries, Lynn

AU - Friese, Randall S.

AU - Rhee, Peter

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N2 - Background Geriatric patients are at higher risk for adverse outcomes after injury because of their altered physiological reserve. Mortality after trauma laparotomy remains high; however, outcomes in geriatric patients after trauma laparotomy have not been well established. The aim of our study was to identify factors predicting mortality in geriatric trauma patients undergoing laparotomy. Methods A retrospective study was performed of all trauma patients undergoing a laparotomy at our level 1 trauma center over a 6-y period (2006-2012). Patients with age ≥55 y who underwent a trauma laparotomy were included. Patients with head abbreviated injury scale (AIS) score ≥ 3 or thorax AIS ≥ 3 were excluded. Our primary outcome measure was mortality. Significant factors in univariate regression model were used in multivariate regression analysis to evaluate the factors predicting mortality. Results A total of 1150 patients underwent a trauma laparotomy. Of which 90 patients met inclusion criteria. The mean age was 67 ± 10 y, 63% were male, and median abdominal AIS was 3 (2-4). Overall mortality rate was 23.3% (21/90) and progressively increased with age (P = 0.013). Age (P = 0.02) and lactate (P = 0.02) were the independent predictors of mortality in geriatric patients undergoing laparotomy. Conclusions Mortality rate after trauma laparotomy increases with increasing age. Age and admission lactate were the predictors of mortality in geriatric population undergoing trauma laparotomies.

AB - Background Geriatric patients are at higher risk for adverse outcomes after injury because of their altered physiological reserve. Mortality after trauma laparotomy remains high; however, outcomes in geriatric patients after trauma laparotomy have not been well established. The aim of our study was to identify factors predicting mortality in geriatric trauma patients undergoing laparotomy. Methods A retrospective study was performed of all trauma patients undergoing a laparotomy at our level 1 trauma center over a 6-y period (2006-2012). Patients with age ≥55 y who underwent a trauma laparotomy were included. Patients with head abbreviated injury scale (AIS) score ≥ 3 or thorax AIS ≥ 3 were excluded. Our primary outcome measure was mortality. Significant factors in univariate regression model were used in multivariate regression analysis to evaluate the factors predicting mortality. Results A total of 1150 patients underwent a trauma laparotomy. Of which 90 patients met inclusion criteria. The mean age was 67 ± 10 y, 63% were male, and median abdominal AIS was 3 (2-4). Overall mortality rate was 23.3% (21/90) and progressively increased with age (P = 0.013). Age (P = 0.02) and lactate (P = 0.02) were the independent predictors of mortality in geriatric patients undergoing laparotomy. Conclusions Mortality rate after trauma laparotomy increases with increasing age. Age and admission lactate were the predictors of mortality in geriatric population undergoing trauma laparotomies.

KW - Age

KW - Complications

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KW - Lactate

KW - Mortality

KW - Trauma laparotomy

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