Higher trauma mortality rates are observed in elderly patients due to physiological changes and frailty. Evidence-based guidelines emphasize knowledge of aging physiology, focused triage, frailty assessment, and early trauma protocol activation to improve outcomes. Recommendations include multimodal pain management, selective antibiotic prophylaxis, thromboembolism prophylaxis, and palliative care involvement for end-of-life discussions in a multidisciplinary approach. Geriatric intensive care units are advocated for holistic care and improved survival.
Review by De Simone B, Chouillard E (…) Catena F et 63 al. in World J Emerg Surg
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