Schrooten, T. (Tim) (2019) Onderschatte traumamechanismen bij ouderen: ongeval met e-bike en val van de trap. thesis, Medicine.
Full text available on request.Abstract
Introduction. The Dutch population is getting older. It is expected that between 2018 and 2040 the amount of 65+ year olds will be 1,5 times larger and the amount of 80+ year olds will double. Two trauma mechanisms that occur at higher ages are an accident with an e-bike and a fall from the stairs. Research has shown that an e-bike accident causes more serious injuries when compared to similar trauma mechanisms. There are clues that the same is true for a fall from the stairs. When people are injured more seriously, the chance that injuries will be missed at the first assessment increases. Is there something else about these trauma mechanisms that increases the chance of injuries being missed? Materials and methods. This is a retrospective database research. Data from the trauma-registration and patient files are used from all 60+ year olds who were assessed by a “basisteam” in 2015 up to and including 2018 at the ER of Medisch Spectrum Twente (MST). Patients who had an accident with an e-bike and patients who fell from the stairs were compared to all other traumas. Results. There was no difference in missed injuries between both groups. Patients who had an accident with an e-bike or fell from the stairs were more severely injured than the other traumas. The Injury Severity Score (ISS) is a predictor for missing injuries. In addition it was notable that elders who fell from the stairs suffered more spinal injuries. Conclusion. An accident with an e-bike and a fall from the stairs are not predictors for missing injuries at primary assessment. The ISS on the other hand is a predictor for missing injuries at primary assessment.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Hoogeboom, Dr. W.R. |
| Faculty: | Medical Sciences |
| Keywords: | Bevolking, Nederland, vergrijzing, ongevallen |
| Date Deposited: | 14 Jul 2020 07:12 |
| Last Modified: | 14 Jul 2020 07:12 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2748 |
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