@article{article_391365, title={The Factors Influencıng the Mortalıty in Elderly Trauma Patıents and Scorıng Systems}, journal={Journal of Uludağ University Medical Faculty}, volume={34}, pages={15–19}, year={2008}, author={Güneytepe, Ümit İlker and Aydın, Şule Akköse and Gökgöz, Şehsuvar and Özgüç, Halil and Ocakoğlu, Gökhan and Aktaş, Hikmet}, keywords={elderly, mortality, score, injury severity}, abstract={The aim of this study is to determine the demographic and clinical features of the trauma in elderly patients, to describe the factors affecting mortality, and to compare the significance of the trauma scoring systems to evaluate the mortality rate. We had investigated the medical records of 481 patients, aged 65 and older, admitted to our emergency department between 01/01/1996-31/07/2005 retrospectively. All cases were evaluated according to demographic features, trauma presentation, injury sites, prognosis, trauma scores (GCS [Glascow Coma Score], RTS [Revised Trauma Score], ISS [Injury Severity Score], TRISS [Trauma Score-Injury Severity Score]), and mortality. The mortality rate was 9.6% (46/481). TRISS was determined as most significant factor affecting mortality according to ROC analysis. There was a significant difference between survivors and non-survivors with regard to the type of traffic accident, namely, vehicle-occupant, pedestrian, and motorbike accidents. The head injury influenced the mortality significantly (P < 0.001). The extremity trauma was the most frequent injury site while the head trauma was the second frequent one. TRISS was found to be more effective to predict mortality than other scoring systems.}, number={1}, publisher={Bursa Uludağ University}