Undertriage of elderly trauma patients to state-designated trauma centers: the authors' response.
@article{Bass2009UndertriageOE,
title={Undertriage of elderly trauma patients to state-designated trauma centers: the authors' response.},
author={Robert R. Bass and Richard L. Alcorta and Mary Beachley and David C. Chang},
journal={Archives of surgery},
year={2009},
volume={144 1},
pages={
91
}
}Results: The registry analysis identified 26 565 trauma patients. The undertriage rate was significantly higher in patients aged 65 years or older than in younger patients (49.9% vs 17.8%, P .001). On multivariate analysis, this decrease in trauma center transports was found to start at age 50 years (odds ratio, 0.67; 95% confidence interval, 0.57-0.77), with another decrease at age 70 years (odds ratio, 0.45; 95% confidence interval, 0.39-0.53) compared with patients younger than 50 years. A…
98 Citations
Improvement in geriatric trauma outcomes in an evolving trauma system
- MedicineTrauma Surgery & Acute Care Open
- 2019
Development of a multidisciplinary dedicated trauma service is associated with increased trauma team activation rate as well as survival in geriatric trauma patients.
Evaluation of a New Elderly Trauma Triage Algorithm
- MedicineSouthern medical journal
- 2012
Whereas FTTA appropriately triaged patients 15 to 54 years old to the trauma center, those 55 years old and older were much less likely to be triaged correctly.
Age-related injury patterns in Spanish trauma ICU patients. Results from the RETRAUCI.
- MedicineInjury
- 2016
Old and Undertriaged: A Lethal Combination
- MedicineThe American surgeon
- 2012
Trauma triage guidelines need to be better tailored to identify the high-risk geriatric trauma patient, which is more likely to die, when adjusted for Revised Trauma Score, Glasgow Coma score, and whether the patient was on Coumadin.
Variation of Blunt Traumatic Injury with Age in Older Adults: Statewide Analysis 2011–14
- MedicineThe western journal of emergency medicine
- 2016
In a large cohort of older adults with trauma, a decreases in trauma alert level is found, despite an increase in mortality and a decrease in demographic diversity, which provides a framework for future research on the relationship between age and blunt traumatic injury in older adults.
Trauma patients centralization for the mechanism of trauma: old questions without answers
- Medicine, PsychologyEuropean Journal of Trauma and Emergency Surgery
- 2017
A revision of the field triage protocol with a prospective validation is needed to improve overtriage that is above the suggested limits and significant association with major trauma was demonstrated in the multivariate analysis of different mechanisms of trauma in patients triaged only for dynamics.
Trauma centre outcome performance: a comparison of young adults and geriatric patients in an inclusive trauma system.
- MedicineInjury
- 2012
Do trauma center levels matter in older isolated hip fracture patients?
- MedicineThe Journal of surgical research
- 2015
References
SHOWING 1-10 OF 20 REFERENCES
Undertriage of elderly trauma patients to state-designated trauma centers.
- MedicineArchives of surgery
- 2008
OBJECTIVE
To determine whether age bias is a factor in triage errors.
DESIGN
Retrospective analysis of 10 years (1995-2004) of prospectively collected data in the statewide Maryland Ambulance…
Trauma patients 75 years and older: long-term follow-up results justify aggressive management.
- MedicineThe Journal of trauma
- 1998
Despite higher than expected mortality after discharge, aggressive management of trauma patients 75 years and older is justified by the favorable long-term outcome.
Geriatric falls: injury severity is high and disproportionate to mechanism.
- MedicineThe Journal of trauma
- 2001
Falls among the elderly, including same-level falls, are a common source of both high injury severity and mortality, much more so than in younger patients, and a different pattern of injury between older and younger fall patients also exists.
Long-term survival in the elderly after trauma.
- MedicineThe Journal of trauma
- 2000
This study suggests that strategies to return the elderly patient to preinjury functional status are of paramount importance and future research should explore the impact of these interventions on long-term survival.
"Insignificant" mechanism of injury: not to be taken lightly.
- MedicineJournal of the American College of Surgeons
- 2001
Practice management guidelines for geriatric trauma: the EAST Practice Management Guidelines Work Group.
- MedicineThe Journal of trauma
- 2003
This guideline was to provide the trauma practitioner with some evidence-based recommendations that could be used to guide decision-making in the care of the geriatric trauma patient and it is clear that evidence- based responses to all of the questions raised are not possible.
Inclusive trauma systems: do they improve triage or outcomes of the severely injured?
- Medicine, Political ScienceThe Journal of trauma
- 2006
Consideration should be given to continuing implementation of systems with an inclusive configuration, especially in light of other theoretical benefits of these systems, such as better dispersing of trauma care resources in the event of natural disasters or terrorist events.
System compliance with out-of-hospital trauma triage criteria.
- MedicineThe Journal of trauma
- 2003
A significant proportion of seriously injured patients meeting Trauma Triage Criteria were transported by EMS personnel to NTCs, demonstrating poor compliance with trauma triage byEMS personnel.
Acute hospital costs of trauma in the United States: implications for regionalized systems of care.
- MedicineThe Journal of trauma
- 1990
As part of a larger effort to determine total direct and indirect costs of injury in the United States, national estimates of the numbers and expenditures associated with acute hospitalization due to…



