Geriatric All-Terrain Vehicle Trauma: An Unhelmeted and Severely Injured Population

•Geriatric All-terrain vehicle trauma patients suffered higher mortality, more severe injury, and longer hospital stays than younger adults.•Geriatric patients also have a distinct injury pattern with more thoracic, spine, and less abdominal injuries.•Age ≥65 independently increased the risk of both...

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Bibliographic Details
Published in:The Journal of surgical research 2022-02, Vol.270, p.555-563
Main Authors: Goldwag, Jenaya L., Porter, Eleah D., Wilcox, Allison R., Li, Zhongze, ScD, Tor D. Tosteson, Crockett, Andrew O., Wolffing, Andrea B., Mancini, D. Joshua, Martin, Eric D., Scott, John W., Briggs, Alexandra
Format: Article
Language:English
Subjects:
All terrain vehicle (ATV)
Geriatric trauma
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Summary:•Geriatric All-terrain vehicle trauma patients suffered higher mortality, more severe injury, and longer hospital stays than younger adults.•Geriatric patients also have a distinct injury pattern with more thoracic, spine, and less abdominal injuries.•Age ≥65 independently increased the risk of both severe injury and mortality after All-terrain vehicle trauma. All-terrain vehicle (ATV) use is widespread, however, little is known about injury patterns and outcomes in geriatric patients. We hypothesized that geriatric patients would have distinct and more severe injuries than non-geriatric adults after ATV trauma. A retrospective cohort study was performed using the National Trauma Databank comparing non-geriatric (18-64) and geriatric adults (≥65) presenting after ATV trauma at Level 1 and 2 trauma centers from 2011 to 2015. Demographic, admission, and outcomes data were collected, including injury severity score (ISS), abbreviated injury scale (AIS) score, discharge disposition, and mortality. We performed univariate statistical tests between cohorts and multiple logistic regression models to assess for risk factors associated with severe injury (ISS>15) and mortality. 23,568 ATV trauma patients were identified, of whom 1,954 (8.3%) were geriatric. Geriatric patients had higher rates of severe injury(29.2 v 22.5%,p
ISSN:0022-4804
1095-8673
DOI:10.1016/j.jss.2021.09.009