Epidemiology of geriatric trauma patients in Norway: A nationwide analysis of Norwegian Trauma Registry data, 2015–2018. A retrospective cohort study

IntroductionGeriatric patients have a high risk of poor outcomes after trauma and is rapid-increasing group within the population. Given need to ensure that system targeted, efficient, accessible, safe responsive all age groups aim present study was explore epidemiology characteristics Norwegian geriatric population assess differences between national system.Materials methodsThis retrospective analysis based on data from Trauma Registry (2015-2018). Injury severity scaled using Abbreviated Scale (AIS), New Severity Score (NISS). 16 years or older with NISS ?9 were included, dichotomized into 16–64 (Group 1, G1) ?65 2, G2). The compared respect in demographics, injury characteristics, management outcome. Descriptive statistics relevant parametric non-parametric tests used.ResultsGeriatric proved be at sustaining severe injuries. Low-energy falls predominated G2, AIS body regions ‘Head’ ‘Pelvis lower extremities’ most frequently injured. Crude 30-day mortality higher G2 G1 (G1: 2.9 vs. G2: 13.6%, P<0.01) team activation (TTA) rate 90 73%, P<0.01). A proportion treated by physician prehospitally 30 18%, [NISS 15–24], transported air-ambulance 24 14%, Median time alarm hospital admission longer for 71 78 min P<0.01), except severely injured (NISS?25).ConclusionIn this nationwide comparing adult patients, found mortality, receive less advanced prehospital treatment transportation, TTA rate. This surprising setting Nordic country free access publicly funded emergency services, nationally implemented requirements pre- in-hospital services registry individual level coverage trauma-receiving hospitals. Further exploration deeper understanding these warranted.