• Brittney L Culp, Jacob W Roden-Foreman, Estrella V Thomas, Evan Elizabeth McShan, Monica M Bennett, Katherine Riley Martin, Mark B Powers, Michael L Foreman, Laura B Petrey, and Ann Marie Warren.
• a Department of Surgery, Baylor Scott & White - Grapevine , Grapevine , TX , USA.
• Cogn Behav Ther. 2019 Sep 1; 48 (5): 406-418.

AbstractThis is the first study to compare both physical and psychological outcomes in geriatric and non-geriatric patients (n = 268) at baseline and 6 months post-trauma. Demographic, clinical, and psychological data, including screens for alcohol use, depressive symptoms, and post-traumatic stress symptoms (PTSS) were collected from 67 geriatric patients (70.7 ± 8.0 years) and 201 non-geriatric patients (40.2 ± 12.8 years) admitted to a Level I trauma center for ≥ 24 h. Geriatric patients were significantly less likely to screen positive for alcohol use at baseline, and depression, PTSS, and alcohol use at follow-up. When not controlling for discharge to rehabilitation or nursing facility, geriatric patients had significantly lower odds of alcohol use at follow-up. There was no significant difference in injury severity, resilience, or pre-trauma psychological status between the two groups. Results indicate that geriatric trauma patients fare better than their younger counterparts at 6 months post-trauma on measures of alcohol use, depression, and PTSS. Screenings and interventions for both age groups could improve psychological health post-trauma, but younger patients may require additional attention.

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