Trauma Monthly

Published by: Kowsar

Sex Disparities in Elderly Trauma in Northern Iran

Zahra Mohtasham-Amiri 1 , Hosein Etehad 2 , Zahra Haghdoust 3 , * , Makan Shakerian 4 and Mahboobeh Saketi 4
Authors Information
1 Professor of Preventive and Social Medicine, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
2 Assisstant Professor of Orthopaedia, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
3 Master of Nursing, Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, IR Iran
4 General Physician
Article information
  • Trauma Monthly: November 2017, 22 (6); e38083
  • Published Online: December 19, 2016
  • Article Type: Research Article
  • Received: March 28, 2016
  • Revised: September 4, 2016
  • Accepted: December 7, 2016
  • DOI: 10.5812/traumamon.38083

To Cite: Mohtasham-Amiri Z, Etehad H, Haghdoust Z, Shakerian M, Saketi M. Sex Disparities in Elderly Trauma in Northern Iran, Trauma Mon. 2017 ; 22(6):e38083. doi: 10.5812/traumamon.38083.

Copyright © 2016, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Introduction
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Definition of an older or elderly person. 2014;
  • 2. Fama F, Murabito LM, Beccaria A, Cucinotta F, Caruso A, Foti CD, et al. Infuence of co-morbidity in the prognosis of politrauma in geriatric patients. BMC Geriatrics. 2011; 11[DOI]
  • 3. Holder P, Arthur AO, Thiems G, Redmon T, Thomas M, Goodloe JM, et al. Patients refusing prehospital transport are increasingly likely to be geriatric. Emerg Med Int. 2012; 2012: 905976[DOI][PubMed]
  • 4. Haub C, Gribble J, Jacobsen L. World Population Data Sheet 2011. 2011;
  • 5. Hannan EL, Waller CH, Farrell LS, Rosati C. Elderly trauma inpatients in New York state: 1994-1998. J Trauma. 2004; 56(6): 1297-304[PubMed]
  • 6. Marik PE. Management of the critically ill geriatric patient. Crit Care Med. 2006; 34(9 Suppl)-82[DOI][PubMed]
  • 7. Tajvar M, Arab M, Montazeri A. Determinants of health-related quality of life in elderly in Tehran, Iran. BMC Public Health. 2008; 8: 323[DOI][PubMed]
  • 8. National Population and Housing Census. Office of the Head, Public Relations and International Cooperation, The First Edition, pdf. 2011;
  • 9. Road Traffic Injuries in Iran and their Prevention, A Worrying Picture. 2014;
  • 10. Labib N, Nouh T, Winocour S, Deckelbaum D, Banici L, Fata P, et al. Severely injured geriatric population: morbidity, mortality, and risk factors. J Trauma. 2011; 71(6): 1908-14[DOI][PubMed]
  • 11. Lustenberger T, Inaba K. The Elderly Patient. 2012; [DOI]
  • 12. Victorino GP, Chong TJ, Pal JD. Trauma in the elderly patient. Arch Surg. 2003; 138(10): 1093-8[DOI][PubMed]
  • 13. Giannoudis PV, Harwood PJ, Court-Brown C, Pape HC. Severe and multiple trauma in older patients; incidence and mortality. Injury. 2009; 40(4): 362-7[DOI][PubMed]
  • 14. Wright AS, Schurr MJ. Geriatric trauma: review and recommendations. WMJ. 2001; 100(2): 57-9[PubMed]
  • 15. Hranjec T, Sawyer RG, Young JS, Swenson BR, Calland JF. Mortality factors in geriatric blunt trauma patients: creation of a highly predictive statistical model for mortality using 50,765 consecutive elderly trauma admissions from the National Sample Project. Am Surg. 2012; 78(12): 1369-75[PubMed]
  • 16. Saidi H, Mutiso B. Injury Outcomes in Elderly Patients Admitted at an Urban African Hospital. Surg Sci. 2013; 4(6): 292-7[DOI]
  • 17. Stevens JA, Sogolow ED. Gender differences for non-fatal unintentional fall related injuries among older adults. Inj Prev. 2005; 11(2): 115-9[DOI][PubMed]
  • 18. Watts HF, Kerem Y, Kulstad EB. Evaluation of the revised trauma and injury severity scores in elderly trauma patients. J Emerg Trauma Shock. 2012; 5(2): 131-4[DOI][PubMed]
  • 19. Safizadeh H, Habibi H, Zahmatkesh R, Samari M. Accidents Epidemiology in the Elderly of Kerman Provine during 2006-2009. Iran J Ageing. 2013; 8(28)
  • 20. Angele MK, Schwacha MG, Ayala A, Chaudry IH. Effect of gender and sex hormones on immune responses following shock. Shock. 2000; 14(2): 81-90[PubMed]
  • 21. Trauma Center Levels Explained. 2014;
  • 22. Guneytepe UI, Aydin SA, Gokgoz S, Ozguç H, Ocakoglu G, Aktas H. The Factors Influencıng the Mortalıty in Elderly Trauma Patıents and Scorıng Systems. Uludag Medical Journal. 2008; 34: 15-9
  • 23. O'Neill S, Brady RR, Kerssens JJ, Parks RW. Mortality associated with traumatic injuries in the elderly: a population based study. Arch Gerontol Geriatr. 2012; 54(3)-30[DOI][PubMed]
  • 24. Gowing R, Jain MK. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surg. 2007; 50(6): 437-44[PubMed]
  • 25. Spaniolas K, Cheng JD, Gestring ML, Sangosanya A, Stassen NA, Bankey PE. Ground level falls are associated with significant mortality in elderly patients. J Trauma. 2010; 69(4): 821-5[DOI][PubMed]
  • 26. Pracht EE, Langland-Orban B, Flint L. Survival advantage for elderly trauma patients treated in a designated trauma center. J Trauma. 2011; 71(1): 69-77[DOI][PubMed]
  • 27. Yadollahi M, Anvar M, Ghaem H, Ravanfar P, Paydar S. Epidemiologic Study of Trauma Patients Admitted to a Level 1 Trauma Center in Shiraz: One Year Survey. Razavi Int J Med. 2015; 3(4)[DOI]
  • 28. Taylor MD, Tracy JK, Meyer W, Pasquale M, Napolitano LM. Trauma in the elderly: intensive care unit resource use and outcome. J Trauma. 2002; 53(3): 407-14[DOI][PubMed]
  • 29. Newell MA, Rotondo MF, Toschlog EA, Waibel BH, Sagraves SG, Schenarts PJ, et al. The elderly trauma patient: an investment for the future? J Trauma. 2009; 67(2): 337-40[DOI][PubMed]
  • 30. Parreira JG, Solda SC, Perlingeiro JA, Padovese CC, Karakhanian WZ, Assef JC. Comparative analysis of the characteristics of traumas suffered by elderly and younger patients. Rev Assoc Med Bras (1992). 2010; 56(5): 541-6[PubMed]
  • 31. Ekci B, Aktas C, Eren SH, Sarıkaya S. Consequences of low energy falls in patients aged 65 years and over and those under 65 years. Turk J Geriatr. 2010; 13: 185-90
  • 32. Adam SH, Eid HO, Barss P, Lunsjo K, Grivna M, Torab FC, et al. Epidemiology of geriatric trauma in United Arab Emirates. Arch Gerontol Geriatr. 2008; 47(3): 377-82[DOI][PubMed]
  • 33. Lonner JH, Koval KJ. Polytrauma in the elderly. Clin Orthop Relat Res. 1995; (318): 136-43[PubMed]
  • 34. Bina M, Graziano F, Bonino S. Risky driving and lifestyles in adolescence. Accid Anal Prev. 2006; 38(3): 472-81[DOI][PubMed]
  • 35. Lam LT. A neglected risky behavior among children and adolescents: underage driving and injury in New South Wales, Australia. J Safety Res. 2003; 34(3): 315-20[PubMed]
  • 36. O'Jile JR, Ryan LM, Parks-Levy J, Betz B, Gouvier WD. Sensation seeking and risk behaviors in young adults with and without a history of head injury. Appl Neuropsychol. 2004; 11(2): 107-12[DOI][PubMed]
  • 37. Guralnik JM, Balfour JL, Volpato S. The ratio of older women to men: historical perspectives and cross-national comparisons. Aging (Milano). 2000; 12(2): 65-76[PubMed]
  • 38. Shortt NL, Robinson CM. Mortality after low-energy fractures in patients aged at least 45 years old. J Orthop Trauma. 2005; 19(6): 396-400[PubMed]
  • 39. Aschkenasy MT, Rothenhaus TC. Trauma and falls in the elderly. Emerg Med Clin North Am. 2006; 24(2): 413-32[DOI][PubMed]
  • 40. Kent A, Pearce A. Review of morbidity and mortality associated with falls from heights among patients presenting to a major trauma centre. Emerg Med Australas. 2006; 18(1): 23-30[DOI][PubMed]
  • 41. Yilmaz S, Karcioglu O, Sener S. The impact of associated diseases on the etiology, course and mortality in geriatric trauma patients. Eur J Emerg Med. 2006; 13(5): 295-8[PubMed]
  • 42. WHo Global report on falls Prevention in older Age. 2007;
  • 43. Iranfar M, Ainy E. Fall epidemiology in the elderly residents of care centers in Tehran–1390. Iran J Ageing. 2013; 8(2): 30-8
  • 44. Schoeneberg C, Kauther MD, Hussmann B, Keitel J, Schmitz D, Lendemans S. Gender-specific differences in severely injured patients between 2002 and 2011: data analysis with matched-pair analysis. Crit Care. 2013; 17(6)[DOI][PubMed]
  • 45. Akkose Aydin S, Bulut M, Fedakar R, Ozgurer A, Ozdemir F. Trauma in the elderly patients in Bursa. Ulus Travma Acil Cerrahi Derg. 2006; 12(3): 230-4[PubMed]
  • 46. Czosnyka M, Balestreri M, Steiner L, Smielewski P, Hutchinson PJ, Matta B, et al. Age, intracranial pressure, autoregulation, and outcome after brain trauma. J Neurosurg. 2005; 102(3): 450-4[DOI][PubMed]
  • 47. Schroder J, Kahlke V, Staubach KH, Zabel P, Stuber F. Gender differences in human sepsis. Arch Surg. 1998; 133(11): 1200-5[PubMed]
  • 48. Young L, Ahmad H. Trauma in the elderly: a new epidemic? Aust N Z J Surg. 1999; 69(8): 584-6[PubMed]
  • 49. Bennett KM, Scarborough JE, Vaslef S. Outcomes and health care resource utilization in super-elderly trauma patients. J Surg Res. 2010; 163(1): 127-31[DOI][PubMed]
  • 50. Adams SD, Cotton BA, McGuire MF, Dipasupil E, Podbielski JM, Zaharia A, et al. Unique pattern of complications in elderly trauma patients at a Level I trauma center. J Trauma Acute Care Surg. 2012; 72(1): 112-8[DOI][PubMed]
  • 51. Yeung JH, Chang AL, Ho W, So FL, Graham CA, Cheng B, et al. High risk trauma in older adults in Hong Kong: a multicentre study. Injury. 2008; 39(9): 1034-41[DOI][PubMed]
  • 52. McMahon DJ, Schwab CW, Kauder D. Comorbidity and the elderly trauma patient. World J Surg. 1996; 20(8): 1113-20
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