ArticleThe Journal of surgical research2017
Early geriatric consultation increases adherence to TQIP Geriatric Trauma Management Guidelines.
Article in The Journal of surgical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Configurations and outcomes of acute hospital care for frail and older patients with moderate to major trauma: a systematic review.BMJ open · 2023Pooled it
- Effect of a multi-component palliative care intervention on goals of care discussions for critical patients in the emergency department.Internal and emergency medicine · 2026Article
- Knowledge of CPR and Code Status Discussions in Traumatically Injured Older Adults: Does Health Literacy Matter?Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- The older the injured, the worse the outcomes: A comparison of injury patterns and in-hospital outcomes between younger and older adult trauma patients at a tertiary hospital in Northern Tanzania.PLOS global public health · 2025Article
- Perioperative Management of the Geriatric Trauma Patient.Current anesthesiology reports · 2025Article
- Identifying Age-Specific Risk Factors for Poor Outcomes After Trauma With Machine Learning.The Journal of surgical research · 2024Article
- Geriatric trauma triage: optimizing systems for older adults-a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee.Trauma surgery & acute care open · 2024Review
- Frailty: the perioperative and anesthesia challenges of an emerging pandemic.Journal of anesthesia · 2023Review
- Initiating advance care planning at admission: a brief intervention to increase goals of care discussions in geriatric trauma patients in an urban level I trauma center.Trauma surgery & acute care open · 2023Article
- Provision of acute care pathways for older major trauma patients in the UK.BMC geriatrics · 2022Article
- Mapping evidence on standards and quality of care for older persons in long-term care facilities: a scoping review protocol.Systematic reviews · 2021Article
- Older trauma patients are at high risk of delirium, especially those with underlying dementia or baseline frailty.Trauma surgery & acute care open · 2021Article
- Complications in low-risk older adult trauma patients: A case-control study.The journal of trauma and acute care surgery · 2019Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe American College of Surgeons' Trauma Quality Improvement Program (TQIP) Geriatric Trauma Management Guidelines recommend geriatric consultation for injured older adults. However it is not known how or whether geriatric consultation improves compliance to these quality measures.
methodsThis study is a retrospective chart review of our institutional trauma databank. Adherence to quality measures was compared before and after implementation of specific triggers for geriatric consultation. Secondary analyses evaluated adherence by service: trauma service (Trauma) or a trauma service with early geriatric consultation (GeriTrauma).
resultsThe average age of the 245 patients was 76.7 years, 47% were women, and mean Injury Severity Score was 9.5 (SD ±8.1). Implementation of the GeriTrauma collaborative increased geriatric consultation rates from 2% to 48% but had minimal effect on overall adherence to TQIP quality measures. A secondary analysis comparing those in the post implementation group who received geriatric consultation (n = 94) to those who did not (n = 103) demonstrated higher rates of delirium diagnosis (36.2% vs 14.6%, P < 0.01) and better documentation of initial living situation, code status, and medication list in the GeriTrauma group. Physical therapy was consulted more frequently for GeriTrauma patients (95.7% vs 68.0%, P < 0.01) Documented goals of care discussions were rare and difficult to abstract. A subgroup analysis of only patients with fall-related injuries demonstrated similar outcomes.
conclusionsEarly geriatric consultation increases adherence to TQIP guidelines. Further research into the long term significance and validity of these geriatric trauma quality indicators is needed.
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