ArticleJournal of the American Geriatrics Society2010
The optimum follow-up period for assessing mortality outcomes in injured older adults.
Article in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Clinical efficacy and safety of polymyxins based versus non-polymyxins based therapies in the infections caused by carbapenem-resistant Acinetobacter baumannii: a systematic review and meta-analysis.BMC infectious diseases · 2020Pooled it
- Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review.The Journal of surgical research · 2015Pooled it
- Mode of anesthesia, mortality and outcome in geriatric patients.Zeitschrift fur Gerontologie und Geriatrie · 2014Pooled it
- Implementation of new standard operating procedures for geriatric trauma patients with multiple injuries: a single level I trauma centre study.BMC geriatrics · 2019Trial
- Orthogeriatric co-management improves the outcome of long-term care residents with fragility fractures.Archives of orthopaedic and trauma surgery · 2016Trial
- [Orthogeriatric ward rounds].Zeitschrift fur Gerontologie und Geriatrie · 2025Article
- Article
- The Significance of the Treatment for Elderly Severe Trauma Patients Who Required Intensive Care.Cureus · 2023Article
- How do busy hospital circumstances affect mortality and readmission within 60 days: A cohort study of 680 000 acute admissions in Norway.Health policy (Amsterdam, Netherlands) · 2022Article
- Auditory performance in a group of elderly patients after cochlear implantation.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Hospitals´ Discharge Tendency and Risk of Death - An Analysis of 60,000 Norwegian Hip Fracture Patients.Clinical epidemiology · 2020Article
- Facility-Level Factors and Outcomes After Skilled Nursing Facility Admission for Trauma and Surgical Patients.Journal of the American Medical Directors Association · 2018Article
- Trauma Recidivism Predicts Long-term Mortality: Missed Opportunities for Prevention (Retrospective Cohort Study).Annals of surgery · 2017Article
- Outcomes of Patients Discharged to Skilled Nursing Facilities After Acute Care Hospitalizations.Annals of surgery · 2016Article
- Injury in the aged: Geriatric trauma care at the crossroads.The journal of trauma and acute care surgery · 2015Review
- Age and mortality after injury: is the association linear?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
- Prognosis and health-related quality of life in elderly patients after a mild to moderate trauma.Internal and emergency medicine · 2014Article
- Triage of elderly trauma patients: a population-based perspective.Journal of the American College of Surgeons · 2013Article
- Is there a difference in timing and cause of death after fractures in the elderly?Clinical orthopaedics and related research · 2013Article
- Is futile care in the injured elderly an important target for cost savings?The journal of trauma and acute care surgery · 2012Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo compare mortality rates of hospitalized injured aged 67 and older across commonly used follow-up periods (e.g., in-hospital, 30-day, 1-year) and to determine the postinjury time after which mortality rates stabilize.
designRetrospective analysis of Medicare claims.
settingOregon and Washington Medicare patients.
participantsPatients admitted to 171 Oregon and Washington facilities during 2001/02 with injuries identified according to International Classification of Diseases, Ninth Revision, code and followed for 1 year. MEASUREMENTS: The primary outcome was in-hospital mortality and mortality at 30, 60, 90, 180, and 365 days. Kaplan-Meier survival curves and daily postadmission mortality rates were also evaluated. The rate of change (slope) of the survival curves and daily mortality rates were analyzed to select the point after which mortality rates were no longer decreasing.
resultsThere were 32,135 injured older adults hospitalized over the 2-year period, with a median age of 82 (interquartile range 77-88). Cumulative in-hospital mortality and at 30, 60, 90, 180, and 365 days was 4.1%, 9.7%, 13.6%, 16.1%, 21.3%, and 28.4%, respectively. Mortality rates stabilized by 6 months after injury, with 89% of the change occurring within 60 days. Although serious injuries, medical comorbidities, and preinjury nursing facility residence were all associated with higher mortality, they did not affect the pattern of mortality after injury.
conclusionIn-hospital mortality is much lower than postdischarge mortality in injured older adults, with a substantial portion of persons dying shortly after discharge from the hospital. Mortality appears to stabilize by 6 months after injury, although 60-day postadmission follow-up captures most of the excess daily mortality rate.
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