Evidence map›Paper›PMID 34337156›Full record

ArticleTrauma surgery & acute care open2021

Making your geriatric and palliative programs a strength: TQIP guideline implementation and the VRC perspective.

Vanessa P Ho, Sasha D Adams, Kathleen M O'Connell, Christine S Cocanour, Saman Arbabi, Elisabeth B Powelson, Zara Cooper, Deborah M Stein

Abstract read
In one paragraph

Article in Trauma surgery & acute care open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vanessa P HoSurgery, MetroHealth Medical Center, Cleveland, Ohio, USA.ORCID 0000-0002-6113-2555
Sasha D AdamsDepartment of Surgery, University of Texas McGovern Medical School, Houston, Texas, USA.
Kathleen M O'ConnellSurgery, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-0147-5118
Christine S CocanourSurgery, University of California Davis, Davis, California, USA.
Saman ArbabiSurgery, University of Washington, Seattle, Washington, USA.
Elisabeth B PowelsonDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington, USA.
Zara CooperDepartment of Surgery, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Deborah M SteinDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.

Funding

Institutional Career Development CoreKL2TR002547 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI DWEIK, RAED A. · 2018 to 2022
$7.7M
Anesthesiology & Perioperative Medicine Training GrantT32GM086270 · NIGMS · UNIVERSITY OF WASHINGTON · PI Tonya M Palermo · 2009 to 2026
$4.3M
Beyond 30-Days: Patient-Oriented Outcomes Among Older Adults After Emergency General SurgeryK76AG054859 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI COOPER, ZARA R · 2016 to 2020
$863k
NCATS NIH HHS KL2 TR002547NIA NIH HHS K76 AG054859NIGMS NIH HHS T32 GM086270
6 · The paper itself

Abstract

backgroundOlder patients compose approximately 30% of trauma patients treated in the USA but make up nearly 50% of deaths from trauma. To help standardize and elevate care of these patients, the American College of Surgeons (ACS) Trauma Quality Improvement Program's best practice guidelines for geriatric trauma management was published in 2013 and that for palliative care was published in 2017. Here, we discuss how palliative care and geriatrics quality metrics can be tracked and used for performance improvement and leveraged as a strength for trauma verification.

methodsWe discuss the viewpoint of the ACS Verification, Review, and Consultation and three case studies, with practical tips and takeaways, of how these measures have been implemented at different institutions.

resultsWe describe the use of (1) targeted educational initiatives, (2) development of a consultation tool based on institutional resources, and (3) application of a nurse-led frailty screen. DISCUSSION: Specialized care and attention to these vulnerable populations is recommended, but the implementation of these programs can take many shapes.

Indexed as

clinical protocolsdelivery of health caregeriatricpatient-centered care

Identifiers

PMID34337156
PMCPMC8286789

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.