ArticleYonsei medical journal2025
Undertriage of Severe Geriatric Trauma Patients: Who Are We Missing?
Article in Yonsei medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Differences in admission to trauma centres by sex among adults with traumatic brain injury: a population-based cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Emergency Medical Service Responses for Older Adults: A Retrospective Observational Study Comparing Nursing Homes and the Community.Healthcare (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeGeriatric trauma patients have unique risk factors for being undertriaged, which differ from those in young trauma patients. This study aimed to identify these risk factors and their implications for public health stakeholders and trauma surgeons to improve prehospital triage of geriatric trauma patients. MATERIALS AND
methodsData were retrospectively reviewed from single level-1 trauma center database in patients aged ≥65 years, with Injury Severity Score (ISS) >15 between 2016 and 2020. Pre-hospital and hospital factors were compared between correctly triaged and undertriaged patients. The probabilities of survival and outcomes for correct and undertriage were calculated using the Trauma and Injury Severity Score (TRISS), observed (O):expected (E) ratio, z-score, and w-score.
resultsA total of 512 patients were included in the study; 401 (78%) were correctly triaged and 111 (22%) were undertriaged. Correct triage group presented significant z-score (correct triage: 4.29 vs. undertriage: -0.11), w-score (correct triage: 7.79 vs. undertriage: 4.29), and O:E ratio of mortality (correct triage: 0.73 vs. undertriage: 1.66). Undertriaged patients were older (77 [72-82] vs. 73 [68-80],
conclusionGeriatric trauma patients were undertriaged when they were women, sustained ground-level fall injuries, the more alert in the scene, and had cerebrovascular disease. Trauma surgeons and fire agency stakeholders should collaborate to create geriatric-specific triage guidelines and educate paramedics about these risk factors to prevent undertriage in this patient population.
Indexed as
Identifiers
What OpenQuestion holds
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.