Orthopaedic trauma and an aging population : a retrospective review of factors influencing outcomes [abstract]

Orthopaedic trauma outcomes are largely dependent upon mechanism of injury. However, elderly patients often sustain lower energy trauma, but have worse outcomes. Studies have shown that elderly patients are more likely to have longer lengths of stay, spend more time in ICU, and that preexisting medical comorbidities significantly increase mortality. The purpose of this study is to investigate if age is associated with outcomes in trauma patients at the University of Missouri

Unexpected Turbulence: An Event Study of President Obama\u27s June 29, 2011 Press Conference and Its Effect on Aircraft Manufacturers

On June 29, 2011, President Barack Obama held a press conference regarding the nation\u27s budget deficit. During the conference, President Obama mentioned corporate jet owners six times, criticizing their desire to maintain an accelerated depreciation tax break. The President\u27s comments were met with strong criticism from aircraft manufacturers and members of the aviation community. Based on the underlying assumption that new information is rapidly incorporated into stock prices, the press conference likely had a negative impact on the stock returns of aircraft and aircraft parts manufacturers. This paper uses a financial events study to determine whether or not the press conference significantly hurt the stock prices of aircraft manufacturers

Orthopedic Trauma and Aging

The elderly (age 70+) patient with orthopedic trauma is a rapidly growing subset of patients in the United States. Due to increased medical comorbidities and decreased physiological reserve, morbidity and mortality after trauma may significantly differ from those patients younger than 70 years old. A retrospective review was performed to investigate the effect of age on orthopedic trauma. A total of 870 records of patients with orthopedic trauma from 2006 to 2009 at our Level One trauma center were reviewed. A database was created to include demographics, type and number of comorbid conditions at presentation, injuries, intensive care unit (ICU) and hospital length of stay, and description of the fracture. Patients aged 70 years and older had an increased number of comorbidities per person (3.3214— P < .0001). Length of stay in patients aged 70 years and older was not significantly greater than that of the younger patients. They spent an average of 14.76 days in the hospital compared to 13.42 days for the combined younger patients ( P = .45), but they spent significantly ( P < .0001) more of their stay in the ICU (52.74% vs 34.9% for the younger cohorts). The number of fractures per patient was lower (1.66) in the 70 and older age-group when compared to younger populations ( P < .0001). The 70 and older group was more likely to have their injury due to a fall and less likely to have solid organ injuries. As the number of elderly patients increase, continued research in the management of elderly patients with trauma can lead to protocols and practice guidelines to improve outcomes