Cureus · 2026
Characteristics and Outcomes of Geriatric Patients With Orthopedic Injuries Presenting to the Emergency Department.
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Bint E Fayyaz Wareesha, Ali Haider, Shafiq Junaid, Ziad Muhammad, Hussain Shah, Ahmad Waqar, Arif Mavish
Аннотация
BACKGROUND: Geriatric trauma is an increasingly important public health concern, with orthopedic injuries representing a major cause of emergency department visits and hospitalizations among older adults.
OBJECTIVE: The primary objective of this study was to assess the characteristics, injury patterns, emergency department presentations, and clinical outcomes of geriatric patients with orthopedic injuries.
MATERIALS AND METHODS: This descriptive cross-sectional study was conducted in the Department of Orthopedics at Allama Iqbal Teaching Hospital, Dera Ghazi Khan, from April 2025 to October 2025. A total of 325 patients aged ≥60 years presenting with radiologically confirmed orthopedic injuries were included using non-probability consecutive sampling. Data regarding demographics, comorbidities, mechanisms of injury, emergency presentation, management, complications, and outcomes were collected.
RESULTS: The mean age of patients was 71.8 ± 7.4 years, and females accounted for 56.6% of the cohort. Comorbidities were present in 73.2% of patients, most commonly hypertension (52.9%) and diabetes mellitus (39.1%). Falls were the leading mechanism of injury (67.4%), followed by road traffic accidents (19.4%). Fractures were identified in 80.6% of cases, with hip fractures being the most common (37.2%). On arrival, 29.8% of patients were hemodynamically unstable, and 16% had a Glasgow Coma Scale score <13. A total of 204 patients (62.8%) required hospital admission, and 42.8% underwent operative management. Complications occurred in 21.8% of cases, including pneumonia (5.5%), delirium (4.9%), pressure ulcers (3.7%), and deep vein thrombosis (2.8%). The in-hospital mortality rate was 5.2%.
CONCLUSION: Geriatric patients presenting with orthopedic injuries demonstrate a high burden of comorbidities, predominantly fall-related trauma, and fracture patterns consistent with age-related fragility.
OBJECTIVE: The primary objective of this study was to assess the characteristics, injury patterns, emergency department presentations, and clinical outcomes of geriatric patients with orthopedic injuries.
MATERIALS AND METHODS: This descriptive cross-sectional study was conducted in the Department of Orthopedics at Allama Iqbal Teaching Hospital, Dera Ghazi Khan, from April 2025 to October 2025. A total of 325 patients aged ≥60 years presenting with radiologically confirmed orthopedic injuries were included using non-probability consecutive sampling. Data regarding demographics, comorbidities, mechanisms of injury, emergency presentation, management, complications, and outcomes were collected.
RESULTS: The mean age of patients was 71.8 ± 7.4 years, and females accounted for 56.6% of the cohort. Comorbidities were present in 73.2% of patients, most commonly hypertension (52.9%) and diabetes mellitus (39.1%). Falls were the leading mechanism of injury (67.4%), followed by road traffic accidents (19.4%). Fractures were identified in 80.6% of cases, with hip fractures being the most common (37.2%). On arrival, 29.8% of patients were hemodynamically unstable, and 16% had a Glasgow Coma Scale score <13. A total of 204 patients (62.8%) required hospital admission, and 42.8% underwent operative management. Complications occurred in 21.8% of cases, including pneumonia (5.5%), delirium (4.9%), pressure ulcers (3.7%), and deep vein thrombosis (2.8%). The in-hospital mortality rate was 5.2%.
CONCLUSION: Geriatric patients presenting with orthopedic injuries demonstrate a high burden of comorbidities, predominantly fall-related trauma, and fracture patterns consistent with age-related fragility.