Analysis of Trauma Characteristics Between the Older and Younger Adult Patient from the Pan Asian Trauma Outcome Study Registry (PATOS)

Mohd Mokhtar MA 1 , Azhar ZI 1 , Jamaluddin SF 1 , Cone DC 2 , Shin SD 3 , Shaun GE 4 Show all authors , Chiang WC 5 , Kajino K 6 , Song KJ 7 , Son DN 8 , Norzan NA 9 , PATOS Clinical Research Network

Affiliations 

  • 1 Faculty of Medicine, Universiti Teknologi MARA, UiTM Sungai Buloh Campus, Sungai Buloh, Malaysia
  • 2 John A. Burns School of Medicine, University of Hawai'i at Manoa, Honolulu, Hawaii, USA
  • 3 Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, South Korea
  • 4 Department of Acute and Emergency Care, Khoo Teck Puat Hospital, Singapore, Singapore
  • 5 Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • 6 Department of Emergency and Critical Care Medicine, Kansai Medical University, Hirakata, Japan
  • 7 Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, Seoul, South Korea
  • 8 Center for Emergency Medicine, Bach Mai Hospital, Hanoi, Vietnam
  • 9 Emergency and Trauma Department, Sungai Buloh Hospital, Sungai Buloh, Malaysia
Prehosp Emerg Care, 2023;27(7):875-885.
PMID: 37459651 DOI: 10.1080/10903127.2023.2237107

Abstract

OBJECTIVE: Asia is experiencing a demographic shift toward an aging population at an unrivaled rate. This can influence the characteristics and outcomes of trauma. We aim to examine different characteristics of older adult trauma patients compared to younger adult trauma patients and describe factors that affect the outcomes in Asian countries.

METHODS: This is a retrospective, international, multicenter study of trauma across participating centers in the Pan Asian Trauma Outcome Study (PATOS) registry, which included trauma cases aged ≥18 years, brought to the emergency department (ED) by emergency medical services (EMS) from October 2015 to November 2018. Data of older adults (≥65 years) and younger adults (<65 years) were analyzed and compared. The primary outcome measure was in-hospital mortality, and secondary outcomes were disability at discharge and hospital and intensive care unit (ICU) length of stays.

RESULTS: Of 39,804 trauma patients, 10,770 (27.1%) were older adults. Trauma occurred more among older adult women (54.7% vs 33.2%, p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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