caa a22 4500 477036015 CHVBK 20180405111305.0 cr unu---uuuuu 170330e19961001xx s 000 0 eng 10.1007/s002689900170 doi (NATIONALLICENCE)springer-10.1007/s002689900170 Comorbidity and the Elderly Trauma Patient [Elektronische Daten] [Damian J. McMahon, C. William Schwab, Donald Kauder] Abstract. The elderly are forming an increasingly larger proportion of the population in developed countries with increasingly active life styles. The injured elderly patient has a combination of decreased physiologic reserve and a high incidence of preexisting medical conditions that cause comparably worse outcome, complications, longer hospital stay, and high costs. Although the management of specific injuries is similar in the elderly, many benefit from an overall more aggressive approach to early resuscitation and optimization of cardiopulmonary dynamics. An awareness of the importance of preexisting medical conditions and a coordinated, directed approach to the management of the injuries and the concomitant diseases leads to the most effective care. Upon recovery from injury there is often a change of functional level that precipitates a change in social circumstance. Ethical dilemmas, both at individual and community levels, may arise more frequently in the older trauma patient population. Increased triage to a trauma center, particularly when concomitant disease is present, is justified on the basis of improving outcomes.: 1996 by the Société Internationale de Chir, ugie McMahon Damian J. Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut Schwab C. William Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut Kauder Donald Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut https://doi.org/10.1007/s002689900170 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900170 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- McMahon Damian J. Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut NATIONALLICENCE 700 1- Schwab C. William Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut NATIONALLICENCE 700 1- Kauder Donald Division of Traumatology and Surgical Critical Care, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, Pennsylvania 19104, U.S.A., US aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer