ReviewZeitschrift fur Gerontologie und Geriatrie2021
Towards improving prehospital triage for older trauma patients.
Review in Zeitschrift fur Gerontologie und Geriatrie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- The SAFEST review: a mixed methods systematic review of shock-absorbing flooring for fall-related injury prevention.BMC geriatrics · 2022Pooled it
- Under-triage of older trauma patients in prehospital care: a systematic review.European geriatric medicine · 2021Pooled it
- The potential impact of changing the Norwegian trauma Registry inclusion criteria for patients not admitted with trauma team activation: Identifying patient groups to be excluded and considering potential risks.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Chinese expert consensus on the prehospital management of major trauma.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Is level 1 trauma care necessary for all severely injured older patients? Evaluating undertriage and feasibility of care in major and non-major trauma centres in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Redefining Trauma Triage for Elderly Adults: Development of Age-Specific Guidelines for Improved Patient Outcomes Based on a Machine-Learning Algorithm.Medicina (Kaunas, Lithuania) · 2025Article
- The severely injured older patient: identifying patients at high risk for mortality using the Dutch National Trauma Registry.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Optimising prehospital trauma triage for older adults: challenges, limitations, and future directions.Frontiers in medicine · 2025Review
- The impacts of ageing-related changes on prehospital trauma care for older adults: challenges and future directions.Frontiers in medicine · 2025Review
- Predictability of adult patient medical emergency condition from triage vital signs and comorbidities: a single-center, observational study.BMC emergency medicine · 2024Observational
- Identifying key items to be addressed by non-clinical operators to manage out-of-hours telephone triage services for older adults seeking non-urgent unplanned care in Belgium: an e-Delphi study.BMC health services research · 2024Article
- Trauma deaths of hospitalized patients in Abu Dhabi Emirate: a retrospective descriptive study.World journal of emergency surgery : WJES · 2023Article
- Frailty Identification in Prehospital Care: A Scoping Review of the Literature.Open access emergency medicine : OAEM · 2023Article
- The Hospital Frailty Risk Score (HFRS) applied to primary data: protocol for a systematic review.BMJ open · 2022Article
- New Horizons in Understanding Appropriate Prehospital Identification and Trauma Triage for Older Adults.Open access emergency medicine : OAEM · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe proportion of older adults with major trauma is increasing. High-quality care for this population requires accurate and effective prehospital trauma triage decisions.
objectiveAnatomical and physiological changes with age, comorbidities, and medication use for older adults may affect the accuracy of prehospital trauma triage. MATERIAL AND
methodsThis narrative review focusses on age-related anatomical and physiological changes, comorbidities, and medication use for older adults with an emphasis on their impact on the accuracy of prehospital trauma triage tools. It also addresses the efforts to develop alternative triage criteria to reduce undertriage.
resultsAge-related anatomical and physiological changes, comorbidities, and medication use were shown to affect physiological responses to injury and mechanism of injury for older people. Current triage tools poorly predicted injury severity. Geriatric-specific physiological measures and comorbidities significantly improved sensitivity with much lower specificity. Assessing anticoagulant or antiplatelet use in head injury notably improved sensitivity to identify traumatic intracranial hemorrhage, neurosurgery or death with modest decrease in specificity.
conclusionImproving prehospital providers' knowledge about the challenges of assessing older people with trauma may reduce undertriage. Assessing frailty could help in improving prehospital providers' judgments. Future research is needed to improve triage decisions for this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.