Evidence map›Paper›PMID 39893831›Full record

ArticleAmerican journal of surgery2025

Hospital experience with geriatric trauma impacts long-term survival.

Manuel Castillo-Angeles, Cheryl K Zogg, Molly P Jarman, Stephanie Nitzschke, Reza Askari, Zara Cooper, Ali Salim, Joaquim M Havens

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Manuel Castillo-AngelesDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: mcastillo@bwh.harvard.edu.
Cheryl K ZoggCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA; Department of Surgery, Duke University Medical Center, Durham, NC, USA. Electronic address: cheryl.zogg@duke.edu.
Molly P JarmanCenter for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: mjarman@bwh.harvard.edu.
Stephanie NitzschkeDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: snitzschke@bwh.harvard.edu.
Reza AskariDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. Electronic address: raskari@bwh.harvard.edu.
Zara CooperDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: zcooper@bwh.harvard.edu.
Ali SalimDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: asalim1@bwh.harvard.edu.
Joaquim M HavensDivision of Trauma, Burn, and Surgical Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School and Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: jhavens@bwh.harvard.edu.

Funding

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
Health Impacts of Prehospital Pain Management for Injured Older AdultsK01AG065414 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI JARMAN, MOLLY PRICE · 2020 to 2024
$582k
NIA NIH HHS K01 AG065414NIA NIH HHS K76 AG054859
6 · The paper itself

Abstract

backgroundHospital experience measured by geriatric trauma proportion (GTP) is associated with in-hospital mortality among geriatric patients. Our goal was to determine the impact of GTP on long-term survival among older trauma patients.

methodsThis was a retrospective analysis of Medicare inpatient claims (2014-2015) of geriatric trauma patients admitted in Florida. GTP was calculated by dividing the number of geriatric trauma patients by the overall adult trauma volume in each hospital. Hospitals were then categorized into tertiles of GTP. Our main outcome was mortality at 30, 90, 180, and 365 days. Multivariable regression was performed to identify the association between GTP and long-term survival.

resultsWe included 65,763 geriatric trauma patients. As compared with hospitals in the lowest tertile, patients treated at the highest tertile were associated with lower mortality at 90 days (OR 0.90, 95%CI 0.82-0.98), 180 days (OR 0.90, 95%CI 0.83-0.97), and 365 days (OR 0.91, 95%CI 0.85-0.98).

conclusionsHigher GTP is associated with improved long-term outcomes. However, mortality following trauma among geriatric patients continues to increase for 12 months.

Indexed as

Wounds and InjuriesAgedAged, 80 and overFemaleFloridaHospital MortalityHumansMaleMedicareRetrospective StudiesUnited StatesGeriatricHospital experienceLong-termSurvivalTrauma

Identifiers

PMID39893831
PMCPMC11893228

What OpenQuestion holds

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Registered trials

None linked

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.