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Outcomes for advanced aged (35 and older) versus younger aged pregnant trauma patients: A multicenter study

2023; Elsevier BV; Volume: 226; Issue: 6 Linguagem: Inglês

10.1016/j.amjsurg.2023.06.004

1879-1883

Negaar Aryan, Areg Grigorian, Alexa Lucas, Erika Tay-Lasso, Danielle C. Zezoff, Nicole Fierro, Navpreet K. Dhillon, Eric J. Ley, Jennifer A. Smith, Alden Dahan, Arianne Johnson, William Ganske, Walter L. Biffl, Dunya Bayat, Matthew Castelo, Diane Wintz, Kathryn B. Schaffer, Dennis J. Zheng, Areti Tillou, Raúl Coimbra, Jarrett Santorelli, Morgan Schellenberg, Kenji Inaba, Brent Emigh, Thomas K. Duncan, Graal Diaz, Sigrid Burruss, Rahul Tuli, Jeffry Nahmias,

Trauma and Emergency Care Studies

Effects of advanced maternal age (AMA) pregnancies (defined as ≥35 years) on pregnant trauma patients (PTPs) are unknown. This study compared AMA versus younger PTPs, hypothesizing AMA PTPs have increased risk of fetal delivery (FD).A retrospective (2016-2021) multicenter study included all PTPs. Multivariable logistic regression was used to evaluate risk of FD after trauma.A total of 950 PTPs were included. Both cohorts had similar gestational age and injury severity scores. The AMA group had increased injuries to the pancreas, bladder, and stomach (p < 0.05). There was no difference in rate or associated risk of FD between cohorts (5.3% vs. 11.4%; OR 0.59, CI 0.19-1.88, p > 0.05).Compared to their younger counterparts, some intra-abdominal injuries (pancreas, bladder, and stomach) were more common among AMA PTPs. However, there was no difference in rate or associated risk of FD in AMA PTPs, thus they do not require increased observation.