Journal article
Anemia at Discharge in Elderly Trauma Patients Is Not Associated with Six-Month Mortality
The American surgeon, v 85(7), pp 708-711
01 Jul 2019
PMID: 31405412
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Few studies have evaluated outcomes in geriatric trauma patients discharged with anemia. Our hypothesis was that anemia at discharge was not associated with six-month mortality. A 22-month retrospective study of trauma patients >= 65 years was conducted from 2015 to 2016. The end point was six-month mortality. The degree of anemia at admission (admission hemoglobin [AHb]) and discharge (discharge hemoglobin [DHb]) was categorized as follows based on hemoglobin (Hb) (g/dL): I (>10), II (>9 and <= 10), III (>8 and <= 9), and IV (<= 8). Univariate analysis and multivariate analysis were performed to determine the association of AHb and DHb with the end point. Nine hundred forty-nine patients were analyzed (median age, 82 years). Six-month mortality was 11 per cent. Mortality was associated with AHb by univariate analysis (I: 10% [84/831]; II: 13% [9/67]; III: 22% [7/32]; and IV: 26% [5/19]) (P 5 0.003). DHb was not associated with mortality (I: 11% [65/613]; II: 12% [21/183]; III: 10% [12/116]; and IV: 18% [7/39]) (P = 0.37). Logistic regression found that AHb category IV, age, and chronic kidney disease were independently associated with the end point. In geriatric patients, the severity of anemia at admission and not at discharge predicted six-month mortality. Discharging patients with an Hb of <= 8 g/dL was not adversely associated with mortality.
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Details
- Title
- Anemia at Discharge in Elderly Trauma Patients Is Not Associated with Six-Month Mortality
- Creators
- Adrian W. Ong - Tower Hlth Syst, Reading Hosp, Sect Trauma & Acute Care Surg, Dept Surg, W Reading, PA USAAlison Muller - Tower Hlth Syst, Reading Hosp, Sect Trauma & Acute Care Surg, Dept Surg, W Reading, PA USAAdam Sigal - Reading HospitalForrest Fernandez - Tower Hlth Syst, Reading Hosp, Sect Trauma & Acute Care Surg, Dept Surg, W Reading, PA USA
- Publication Details
- The American surgeon, v 85(7), pp 708-711
- Publisher
- Southeastern Surgical Congress
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery; Emergency Medicine
- Web of Science ID
- WOS:000480412200027
- Scopus ID
- 2-s2.0-85071280066
- Other Identifier
- 991022020735804721
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- Surgery