ArticleWorld journal of emergency surgery : WJES2020
The incidence of geriatric trauma is increasing and comparison of different scoring tools for the prediction of in-hospital mortality in geriatric trauma patients.
Article in World journal of emergency surgery : WJES, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.
- Performance of trauma scoring systems in predicting mortality in geriatric trauma patients: comparison of the ISS, TRISS, and GTOS based on a systemic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Pooled it
- The 2023 WSES guidelines on the management of trauma in elderly and frail patients.World journal of emergency surgery : WJES · 2024Guideline
- An index system for evaluating the data security in trauma centers: a modified Delphi study in China.Journal of translational internal medicine · 2026Article
- Trauma as a critical condition in the very old: assessment, care pathways and outcome differences.European geriatric medicine · 2026Review
- The silver tsunami and the elective arthroplasty crisis: How geriatric trauma overruns public surgical capacity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Article
- Comorbidity Burden and Acute-Care Utilization in Adult Trauma Patients Across the Injury Severity Spectrum in a Nationwide Community-Based Survey (Korea, 2019-2023).Healthcare (Basel, Switzerland) · 2026Article
- Comparison of nutritional and trauma scores in older trauma patients presenting to the emergency department.BMC emergency medicine · 2026Article
- Determining the Association Between Hearing Disability and Injury Risk in Older Adults Using Propensity Score Matching: Quasi-Experimental Study.JMIR public health and surveillance · 2026Article
- Criteria for the qualification of geriatric patients to the trauma center.World journal of emergency surgery : WJES · 2026Article
- Article
- Article
- 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
- Trauma outcomes in elderly patients referring to the emergency department via the rapid emergency medicine score, injury severity score, and geriatric trauma outcome score indices.International journal of emergency medicine · 2025Article
- Review
- Validation of the Oklahoma predictor model for discharge destination in patients with major traumatic injury: a cross-sectional study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Enhancing geriatric trauma mortality prediction: Modifying and assessing the Geriatric Trauma Outcome Score with net benefit and decision curve analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Team-based, Multidisciplinary Care in the Emergency Department.Emergency medicine clinics of North America · 2025Review
- System-Level Variability in Trauma Center Utilization for Seriously Injured Older Adults.The Journal of surgical research · 2025Article
- Biological age in critical care: current evidence, future prospects, and clinical implications.Frontiers in medicine · 2025Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe study aimed to examine the changing incidence of geriatric trauma and evaluate the predictive ability of different scoring tools for in-hospital mortality in geriatric trauma patients.
methodsAnnual reports released by the National Trauma Database (NTDB) in the USA from 2005 to 2015 and the Trauma Register DGU® in Germany from 1994 to 2012 were analyzed to examine the changing incidence of geriatric trauma. Secondary analysis of a single-center cohort study conducted among 311 severely injured geriatric trauma patients in a level I trauma center in Switzerland was completed. According to the in-hospital survival status, patients were divided into the survival and non-survival group. The differences of the ISS (injury severity score), NISS (new injury severity score), TRISS (Trauma and Injury Severity Score), APACHE II (Acute Physiology and Chronic Health Evaluation II), and SPAS II (simplified acute physiology score II) between two groups were evaluated. Then, the areas under the receiver-operating characteristic curve (AUC-ROC) of different scoring tools for the prediction of in-hospital mortality in geriatric trauma patients were calculated.
resultsThe analysis of the NTDB showed that the increase in the number of geriatric trauma ranged from 18 to 30% between 2005 and 2015. The analysis of the DGU® showed that the mean age of trauma patients rose from 39.11 in 1993 to 51.10 in 2013, and the proportion of patients aged ≥ 60 years rose from 16.5 to 37.5%. The findings from the secondary analysis showed that 164 (52.73%) patients died in the hospital. The ISS, NISS, APACHE II, and SAPS II in the death group were significantly higher than those in the survival group, and the TRISS in the death group was significantly lower than those in the survival group. The AUCs of the ISS, NISS, TRISS, APACHE II, and SAPS II for the prediction of in-hospital mortality in geriatric trauma patients were 0.807, 0.850, 0.828, 0.715, and 0.725, respectively.
conclusionThe total number of geriatric trauma is increasing as the population ages. The accuracy of ISS, NISS and TRISS was higher than the APACHE II and SAPS II for the prediction of in-hospital mortality in geriatric trauma patients.
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