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Evaluation of geriatric trauma care in Quebec

The purpose of this prospective cohort study was to describe the profile and outcomes of geriatric trauma care patients treated in level I trauma centers in Quebec. The study also evaluated the quality of care provided to geriatric trauma patients and identified predictors of outcomes which focused on mortality. / A total of 4934 trauma patients over the age of 65 were admitted for the treatment of injuries in three level I trauma centers in Quebec. The majority of the patients were injured in falls and had a low injury severity score. Male gender, older age, thoracic and abdominal injuries, burns, and delayed emergency room stays were identified as significant predictors of mortality. Inferior quality of care was observed with increased age and fall-related injuries. / The observed association between longer emergency room stay and falls with increased risk of mortality along with inferior care for patients injured in falls would suggest that level I trauma centers are inefficient and potentially harmful in treating elderly trauma patients. Further studies would be helpful in confirming these conclusions.

Identiferoai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.81361
Date January 2004
CreatorsLongo, Nadia
PublisherMcGill University
Source SetsLibrary and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada
LanguageEnglish
Detected LanguageEnglish
TypeElectronic Thesis or Dissertation
Formatapplication/pdf
CoverageMaster of Science (Division of Surgical Research.)
RightsAll items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated.
Relationalephsysno: 002166639, proquestno: AAIMR06424, Theses scanned by UMI/ProQuest.

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