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Trauma in the Elderly

  • G. Berlot
  • A. Tomasini
Conference paper

Abstract

Due to the increased ageing of the population observed in all developed countries, more and more elderly people (that is subjects ≥ 65 years old) are exposed to trauma [1]. Several factors account for this observation, including the prolongation of the active life, the reduction of the visual and acoustic capabilities, the slowing of reflexes, the loss of neuromotor co-ordination, and the effects of age-related diseases such as heart failure, osteoarthrosis, dementia etc. Altogether, these changes cause:
  • a peculiar vulnerability of trauma-exposed tissues (i.e., fractures in ostheoporotic bones following minor trauma) [2, 3];

  • a more or less marked loss of the functional reserve, in terms both of single organ [1] and/or systemic stress response [4];

  • altered responses to stressful events due to the effects of drugs that can influence the compensatory mechanisms to trauma (i.e., diuretic-related hypovolaemia, β-blocking agents and/or Ca2+ receptor antagonist- induced bradycardia, etc) [5].

Keywords

Renal Blood Flow Systemic Stress Response Efferent Arteriole Aspiration Pneumonitis Vertebrobasilar Insufficiency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • G. Berlot
    • 1
  • A. Tomasini
    • 1
  1. 1.Department of Clinical Sciences, Section of Anaesthesia, Intensive Care and Pain ClinicTrieste University School of MedicineTriesteItaly

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