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.