Evidence map›Paper›PMID 41656797›Full record

Observational studyEmergency medicine Australasia : EMA2026

The Effect of Increasing Age on Outcomes in Major Trauma: A Retrospective Cohort Study.

Maria Nonis, Andrew McCombie, Christopher Wakeman, John Geddes, Laura R Joyce

Abstract readObservational Study
In one paragraph

Observational study in Emergency medicine Australasia : EMA, 2026. 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. Observational
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

5 authors.

Maria NonisDepartment of Surgery, Te Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.ORCID 0000-0003-0523-9996
Andrew McCombieDepartment of Surgery, Te Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.
Christopher WakemanDepartment of Surgery, Te Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.
John GeddesOlder Persons Health Department, Te Whatu Ora Waitaha Canterbury, Christchurch, New Zealand.
Laura R JoyceDepartment of Surgery and Critical Care, University of Otago, Christchurch, New Zealand.ORCID 0000-0001-8113-3814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the impact of increasing age on clinical outcomes in major trauma patients. Primary outcomes assessed included time to diagnostic imaging, length of hospital stay, and mortality rates both in-hospital and at 30 days post-injury.

methodsA retrospective observational study was conducted involving major trauma patients presenting to a tertiary referral centre over a 6-year period, 2017-2023. The effect of increasing age on triage, investigation and management, and clinical outcomes, including length of stay and mortality, was examined.

resultsAnalysis demonstrated that the likelihood of trauma team activation decreased with increasing age, independent of injury severity score. Increasing age was a significant predictor of in-hospital mortality (odds ratio: 1.06, 95% confidence interval: 1.05-1.07). Rates of computed tomography (CT) utilisation were comparable between older and younger cohorts (≥ 65 vs. < 65 years, 94.8% vs. 94.9%); yet, older patients experienced significantly longer median wait times for imaging (130 min [≥ 65] vs. 79 min [< 65]).

conclusionsIncreasing age is associated with decreased trauma team activation rates irrespective of injury severity. Furthermore, older trauma patients exhibit substantially higher mortality rates, with a marked increase observed beyond initial hospital discharge. Age-specific trauma team activation criteria may reduce under-triage and potentially improve outcomes in older patients.

Indexed as

Wounds and InjuriesAdultAgedAged, 80 and overAge FactorsCohort StudiesFemaleHospital MortalityHumansInjury Severity ScoreLength of StayMaleMiddle AgedRetrospective StudiesTriageemergency departmentgeriatricolder personstrauma

Identifiers

PMID41656797
PMCPMC12884027

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.