{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T18:50:55Z","timestamp":1784919055989,"version":"3.55.0"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T00:00:00Z","timestamp":1724025600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The growing geriatric population has specific medical characteristics that should be taken into account especially in trauma setting. There is little evidence on management of abdominal trauma in the elderly and this article compares the management and outcomes of younger and older patients in order to highlight fields of improvement.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Method<\/jats:title>\n<jats:p>We conducted a retrospective database analysis from two European university hospitals selecting patients admitted for abdominal injury and extracted the following data: epidemiological data, mechanisms of the trauma, vital signs, blood tests, injuries, applied treatments, trauma scores and outcomes. We compared to different age group (16\u201364 and 65+ years old) using uni- and multivariable analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>1181 patients were included for statistical analysis. The main mechanisms of injury in both group were traffic accidents and in the elderly group, falls were more frequent. Both had similar Abbreviated Injury Score except for the thoracic injuries, which was higher in the elderly group. We reported a death rate of 13% in the elderly group and 7% in the younger group. However, multivariable analysis did not report age as an independent predictor of mortality. The management including surgery, blood transfusion and need for intensive care were similar in both groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Although elderly patients suffering abdominal trauma have an almost two fold higher mortality, their management is quite similar leading to an important point of improvement in regards to triage and lower threshold for more aggressive management and surveillance. Age itself does not seem to be a reliable predictor of mortality. Introducing a frailty score when taking care of elderly trauma patients could improve the outcomes.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0309174","type":"journal-article","created":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T17:49:45Z","timestamp":1724089785000},"page":"e0309174","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of adult versus elderly patients with abdominal trauma: A retrospective database analysis"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5924-4275","authenticated-orcid":true,"given":"Jeremy","family":"Dash","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Andereggen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imad","family":"Bentellis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2015-1661","authenticated-orcid":true,"given":"Damien","family":"Massalou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,8,19]]},"reference":[{"key":"pone.0309174.ref001","author":"Office f\u00e9d\u00e9ral de la statistique (OFS)","journal-title":"section D\u00e9mographie et migration"},{"key":"pone.0309174.ref002","article-title":"World Population Prospects: The 2010 Revision.","volume":"I","author":"United Nations.","journal-title":"Comprehensive Tables."},{"issue":"2","key":"pone.0309174.ref003","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.ajem.2013.10.034","article-title":"The relationship between in-hospital mortality and preexisting medications in geriatric trauma patients.","volume":"32","author":"Y Golcuk","year":"2014","journal-title":"Am J Emerg Med."},{"issue":"11","key":"pone.0309174.ref004","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1016\/j.ajem.2015.07.044","article-title":"Elderly fall patients triaged to the trauma bay: age, injury patterns, and mortality risk.","volume":"33","author":"D Evans","year":"2015","journal-title":"Am J Emerg Med."},{"issue":"3","key":"pone.0309174.ref005","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.emc.2016.04.004","article-title":"Geriatric Trauma.","volume":"34","author":"C Reske-Nielsen","year":"2016","journal-title":"Emerg Med Clin North Am."},{"issue":"1","key":"pone.0309174.ref006","first-page":"35","article-title":"Trauma in elderly patients: a study of prevalence, comorbidities and gender differences.","volume":"39","author":"M Gioffr\u00e8-Florio","year":"2018","journal-title":"Il Giornale di chirurgia."},{"issue":"1","key":"pone.0309174.ref007","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S1036-7314(99)70509-6","article-title":"Elderly trauma: they are different","volume":"12","author":"D. Gillies","year":"1999","journal-title":"Australian Critical Care."},{"issue":"2","key":"pone.0309174.ref008","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/TA.0000000000003627","article-title":"National guideline for the field triage of injured patients: recommendations of the National Expert Panel on Field Triage, 2021","volume":"93","author":"CD Newgard","year":"2022","journal-title":"Journal of Trauma and Acute Care Surgery"},{"issue":"2","key":"pone.0309174.ref009","first-page":"133","article-title":"Non-operative management of blunt splenic injury in adults: age over 55 years as a powerful indicator for failure","volume":"183","author":"CD Godley","year":"1996","journal-title":"Journal of the American College of Surgeons"},{"issue":"5","key":"pone.0309174.ref010","doi-asserted-by":"crossref","first-page":"S294","DOI":"10.1097\/TA.0b013e3182702afc","article-title":"Selective non-operative management of blunt splenic injury: an Eastern Association for the Surgery of Trauma practice management guideline.","volume":"73","author":"NA Stassen","year":"2012","journal-title":"Journal of Trauma and Acute Care Surgery"},{"issue":"5","key":"pone.0309174.ref011","first-page":"S288","article-title":"Hepatic Injury, Blunt, Selective Non-operative Management of","volume":"73","author":"NA Stassen","year":"2012","journal-title":"J Trauma"},{"issue":"4","key":"pone.0309174.ref012","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1177\/000313480807400406","article-title":"Perils of rib fractures.","volume":"74","author":"OP Sharma","year":"2008","journal-title":"The American Surgeon."},{"issue":"6","key":"pone.0309174.ref013","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1097\/ALN.0b013e3181fc6e0a","article-title":"Prediction of postoperative pulmonary complications in a population-based surgical cohort","volume":"113","author":"J Canet","year":"2010","journal-title":"Anesthesiology"},{"issue":"2","key":"pone.0309174.ref014","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.jemermed.2019.04.003","article-title":"Old age with a traumatic mechanism of injury should be a trauma team activation criterion","volume":"57","author":"JM Bardes","year":"2019","journal-title":"The Journal of emergency medicine"},{"issue":"2","key":"pone.0309174.ref015","first-page":"391","article-title":"Geriatric trauma: Parameters for resuscitation.","volume":"54","author":"DG Jacobs","year":"2003","journal-title":"J Trauma"},{"issue":"3","key":"pone.0309174.ref016","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4103\/JETS.JETS_62_16","article-title":"Older age, comorbid illnesses, and injury severity affect immediate outcome in elderly trauma patients","volume":"10","author":"D Kirshenbom","year":"2017","journal-title":"Journal of emergencies, trauma, and shock."},{"issue":"4","key":"pone.0309174.ref017","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1097\/TA.0000000000003062","article-title":"Redefining geriatric trauma: 55 is the new 65","volume":"90","author":"SM Fakhry","year":"2021","journal-title":"Journal of Trauma and Acute Care Surgery"},{"issue":"2","key":"pone.0309174.ref018","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1503\/cjs.017117","article-title":"High-risk medications in older patients with trauma: a cross-sectional study of risk mitigation.","volume":"62","author":"E Lester","year":"2019","journal-title":"Canadian Journal of Surgery"},{"issue":"9","key":"pone.0309174.ref019","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1016\/j.injury.2015.06.013","article-title":"Injuries and outcomes associated with traumatic falls in the elderly population on oral anticoagulant therapy.","volume":"46","author":"MM Boltz","year":"2015","journal-title":"Injury"},{"issue":"4","key":"pone.0309174.ref020","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1001\/jamainternmed.2013.14764","article-title":"Antihypertensive medications and serious fall injuries in a nationally representative sample of older adults","volume":"174","author":"ME Tinetti","year":"2014","journal-title":"JAMA internal medicine"},{"issue":"1","key":"pone.0309174.ref021","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13049-021-00868-4","article-title":"Feasibility and accuracy of ED frailty identification in older trauma patients: a prospective multi-centre study.","volume":"29","author":"H Jarman","year":"2021","journal-title":"Scandinavian journal of trauma, resuscitation and emergency medicine."},{"issue":"1","key":"pone.0309174.ref022","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jamcollsurg.2014.03.020","article-title":"Validating trauma-specific frailty index for geriatric trauma patients: a prospective analysis","volume":"219","author":"B Joseph","year":"2014","journal-title":"Journal of the American College of Surgeons"},{"issue":"7","key":"pone.0309174.ref023","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1016\/j.injury.2020.04.045","article-title":"The impact of frailty in major trauma in older patients.","volume":"51","author":"M Pecheva","year":"2020","journal-title":"Injury"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0309174","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,19]],"date-time":"2024-08-19T17:49:59Z","timestamp":1724089799000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0309174"}},"subtitle":[],"editor":[{"given":"Yusuke","family":"Tsutsumi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,8,19]]},"references-count":23,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2024,8,19]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0309174","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,19]]}}}