Blunt chest trauma in older vs. Non-elderly adults: outcomes and management - Summary - MDSpire

Blunt chest trauma in older vs. Non-elderly adults: outcomes and management

  • By

  • Ashraf F. Hefny

  • Nirmin A. Mansour

  • Fatima Aldhaheri

  • Fatima Alameri

  • Mohamed A. Hefny

  • Sherif A. Fathi

  • Taoufik Zoubeidi

  • June 19, 2026

  • 0 min

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Objective:

To examine the incidence, injury patterns, management, and outcomes of blunt chest trauma (BCT) in older adults in the United Arab Emirates (UAE).

Approach:
    Key Findings:
    • 73 out of 861 patients (8.5%) were aged ≥60 years.
    • Road traffic collisions (RTC) were the most common mechanism of trauma (69.9%).
    • Multiple rib fractures were the most common thoracic injury (34.2%).
    • Spine injury was the most common extrathoracic injury (34.2%).
    • Pulmonary contusion was significantly less frequent in older patients compared to younger adults (P = 0.004).
    • Female sex and UAE national patients were more frequent among older adults (P < 0.001 and P = 0.002).
    • Falls from a height of ≤1 meter were significantly more common in older patients.
    Interpretation:

    Despite lower engagement in high-risk activities, RTC remains a major cause of BCT in the elderly, with low-energy falls contributing significantly to the overall burden.

    Limitations:
    • Study conducted in a single community-based hospital, which may limit generalizability.
    • Data collected retrospectively, which may introduce biases.
    Conclusion:

    Understanding the differences in BCT outcomes between older and younger adults is critical for optimizing trauma care.

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