ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
In the last 10 years, have our polytrauma patients become geriatric? The emergency trauma bay in the context of demographic change.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The silver tsunami and the elective arthroplasty crisis: How geriatric trauma overruns public surgical capacity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Cardiovascular Risk Score (SCORE2) Predicts The Incidence and Severity of Cardiac Damage After Polytrauma: How to Identify At-Risk Patients?Shock (Augusta, Ga.) · 2026Article
- [Polytrauma in the DACH region : Comparison of trauma registry data from Germany, Austria and Switzerland].Unfallchirurgie (Heidelberg, Germany) · 2026Article
- Metabolomics Reveals Glyoxylate and Dicarboxylate Metabolism Disorder in Elderly Trauma: A Retrospective Study.Clinical interventions in aging · 2025Article
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Authors and funding
3 authors.
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Abstract
purposeOne of the key challenges trauma centres are currently facing is the management of polytraumata in an ageing population. The aim of this study is to assess the extent to which demographic changes are reflected in the trauma bay population and the impact on geriatric polytrauma patient outcomes.
methodsThis is a retrospective single-centre cohort study of a level one trauma centre in Germany. The data were collected from the DGU TraumaRegister. All patients exhibiting vital signs who were primarily admitted to the trauma bay were included in the study. Patient characteristics were compared for years 2011 and 2021. Polytrauma was defined as ISS > 15, and patients aged 65 and over were assigned to the geriatric group.
resultsThe study included 214 patients. During the study period, there was a significant increase in the mean age of patients (from 47.7 to 55.9 years) and in the proportion of geriatric patients (from 30.37 to 40.51%). Injury severity, as measured by the Injury Severity Score (ISS), also increased significantly. In the entire patient population, the proportion of patients discharged to their place of residence decreased, while the hospital mortality (2011: 9.63%; 2021: 21.52%) increased.
conclusionsThe ageing trauma bay population presents new challenges for medical staff, because polypharmacy, multiple comorbidities and frailty become more significant in an ageing population. Enhanced interdisciplinary management, particularly between trauma and geriatric specialists, may mitigate rising mortality rates. Geriatric trauma centres or at least more geriatric expertise might be required to improve the treatment and outcome in this changing population.
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