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Thoracic Trauma in the Elderly

  • T. Robert Qaqish
  • JoAnn Coleman
  • Mark Katlic
Chapter

Abstract

Age-related changes to the respiratory system predispose the elderly patient to more severe traumatic injury and may consequently result in a more prolonged and complicated clinical course. Although rib fractures are the most common injury from blunt thoracic trauma, associated injuries such as sternal fractures and/or pulmonary contusions are not uncommonly seen. Deleterious pulmonary sequelae such as respiratory failure and pneumonia often occur in the elderly thoracic trauma patient. Furthermore, the overall incidence of mortality is higher than their younger counterparts when they are equally injured. Although there are a relatively small number of reports supporting the operative management of bony injury (rib/flail chest) to the thorax, the existing literature is promising and should prompt more clinical studies. As the evaluation of the elderly trauma patient becomes a more frequent clinical encounter, those caring for these patients should maintain a high index of suspicion for thoracic injury and a greater appreciation for this population’s intolerance to thoracic trauma.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgerySinai Hospital of BaltimoreBaltimoreUSA

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