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

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. M...

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Published in:The American journal of surgery 2023-12, Vol.226 (6), p.798-802
Main Authors: Aryan, Negaar, Grigorian, Areg, Lucas, Alexa N., Tay-Lasso, Erika, Zezoff, Danielle C., Fierro, Nicole, Dhillon, Navpreet K., Ley, Eric J., Smith, Jennifer, Dahan, Alden, Johnson, Arianne, Ganske, William, Biffl, Walter L., Bayat, Dunya, Castelo, Matthew, Wintz, Diane, Schaffer, Kathryn B., Zheng, Dennis J., Tillou, Areti, Coimbra, Raul, Santorelli, Jarrett E., Schellenberg, Morgan, Inaba, Kenji, Emigh, Brent, Duncan, Thomas K., Diaz, Graal, Burruss, Sigrid, Tuli, Rahul, Nahmias, Jeffry
Format: Article
Language:English
Subjects:
Abdomen
Advanced maternal age
Bladder
Emergency medical care
Fetal delivery
Fetuses
Gestational age
Heart rate
Injuries
Magnetic resonance imaging
Mortality
Obstetrics
Ostomy
Pancreas
Patients
Pregnancy
Pregnancy complication
Pregnant trauma
Regression analysis
Risk
Stomach
Trauma
Ultrasonic imaging
Ventilators
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Summary: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). 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. •Advanced maternal age pregnant trauma patients do not have an increased risk of fetal delivery compared to younger patients.•Advanced maternal age pregnant trauma patients sustain higher rates of injury to the stomach, pancreas, and bladder.•Advanced maternal age pregnant trauma patients had similar length of stay and mortality rates compared to younger patients. [Display omitted]
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.06.004