Older adults (65+) decompensate rapidly after blunt hollow viscus injuries, affecting surgical outcomes.

• Mortality odds for older adults undergoing surgery are eight times higher than for younger adults.
• Older adults wait nearly double the time to surgery compared to younger patients.

Delays over one hour from admission to surgery significantly increase mortality risk.

• After 48 hours, older adults face a 13-point higher probability of death (16.20% vs. 3.28%).

Timely diagnosis and surgical intervention are critical to improving outcomes in elderly trauma patients.