Outcome of Trauma in Elderly Patients With Pre-existing Chronic Kidney Disease.

Division

South Atlantic

Hospital

Grand Strand Medical Center

Document Type

Manuscript

Publication Date

8-1-2022

Keywords

Aged, Hospital Mortality, Humans, Injury Severity Score, Kidney Failure, Chronic, Renal Insufficiency, Chronic, Retrospective Studies

Disciplines

Female Urogenital Diseases and Pregnancy Complications | Male Urogenital Diseases | Medicine and Health Sciences | Surgery | Trauma

Abstract

This research aims to evaluate the specific effects of end-stage renal disease on acutely injured trauma patients. This is a single-center study of Trauma Registry data, inclusive years July 1, 2016 to February 28, 2021. Patients were grouped by pre-existing comorbidity of chronic kidney disease (CKD) and those without. Overall, 7261 elderly trauma patients were included in the analysis; stratified groups identified 197 with CKD (3%) and 7064 without (97%). The Injury Severity Scores (ISSs) between the two groups were not significantly different. Elderly trauma patients with CKD typically stayed in the ICU and hospital longer with discharge to hospice, rehab, experienced an in-hospital mortality, and most likely experienced an in-hospital complication. For CKD and non-CKD cohorts, ISSs were similar. However, outcomes for the CKD cohort in the trauma setting were significantly worse, particularly in elderly patients with fall trauma and lower extremity fractures.

Publisher or Conference

The American Surgeon

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