Academic Journal
Geriatric Age is an Independent Risk Factor for Worse Clinical Outcomes After Motorcycle Collision.
| Τίτλος: | Geriatric Age is an Independent Risk Factor for Worse Clinical Outcomes After Motorcycle Collision. |
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| Συγγραφείς: | McDuffie JV; Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York., L'Huillier JC; Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York., Nohra E; Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York., Jalal K; Department of Biostatistics, University at Buffalo, School of Public Health and Health Professions, Buffalo, New York., Guo WA; Department of Surgery, University at Buffalo, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York; Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Erie County Medical Center, Buffalo, New York. Electronic address: waguo@buffalo.edu. |
| Πηγή: | The Journal of surgical research [J Surg Res] 2026 Sep; Vol. 325, pp. 631-639. Date of Electronic Publication: 2026 Jul 01. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, NY : Academic Press Original Publication: Philadelphia [etc.] |
| Ιατρικοί όροι (MeSH): | Motorcycles*/statistics & numerical data , Accidents, Traffic*/statistics & numerical data , Accidents, Traffic*/mortality , Wounds and Injuries*/mortality , Wounds and Injuries*/etiology , Wounds and Injuries*/therapy , Wounds and Injuries*/epidemiology, Humans ; Female ; Male ; Aged ; Risk Factors ; Age Factors ; Retrospective Studies ; Middle Aged ; Hospital Mortality ; Aged, 80 and over ; Adult ; Injury Severity Score ; Propensity Score ; Comorbidity |
| Περίληψη: | Introduction: The number of older people riding motorcycles is increasing. While geriatric patients suffer worse outcomes after motorcycle injury, it is not known whether geriatric age, age-associated comorbidities, or injury pattern drive this difference. We aimed to compare outcomes between injured geriatric (≥65 y) and nongeriatric motorcyclists and hypothesized that geriatric patients have higher mortality and worse clinical outcomes even after adjustment. Methods: We queried the 2017 to 2022 Trauma Quality Improvement Program database for patients injured in a motorcycle collision. We then compared patient characteristics and clinical outcomes between geriatric and nongeriatric patients before and after propensity score matching. A multivariate analysis was conducted to determine the relative strength of association between age, comorbidities, injury pattern, and mortality. Results: A total of 10,268 geriatric and 127,818 nongeriatric patients were identified. After propensity score matching, 10,268 patients remained in each group with balanced baseline characteristics. Geriatric patients had higher in-hospital mortality (7% versus 4%, P < 0.0001), higher rates of intensive care unit admission (43% versus 37%, P < 0.0001), and lower rates of discharge to home (54% versus 66%, P < 0.0001). Multivariate analysis confirmed geriatric age as an independent predictor of mortality (hazard ratio 1.621, P < 0.001). Conclusions: Geriatric age was independently associated with mortality and poor outcomes in injured motorcyclists when accounting for comorbidities and injury severity. These findings underscore the need for age-specific stratification and inform trauma prevention programs about the inherent risk to this growing geriatric population. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Contributed Indexing: | Keywords: Blunt trauma; Geriatric; Mortality; Motorcycle; Outcomes |
| Entry Date(s): | Date Created: 20260701 Date Completed: 20260729 Latest Revision: 20260729 |
| Update Code: | 20260730 |
| DOI: | 10.1016/j.jss.2026.05.063 |
| PMID: | 42385652 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1095-8673 |
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| DOI: | 10.1016/j.jss.2026.05.063 |