Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee
Background Geriatric trauma patients are an increasing population of the United States (US), sustaining a high incidence of falls, and suffer greater morbidity and mortality to their younger counterparts. Significant variation and challenges exist to optimize outcomes for this cohort, while being mi...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | Trauma Surgery & Acute Care Open |
| Online Access: | https://tsaco.bmj.com/content/9/1/e001395.full |
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| author | Bellal Joseph Vanessa P Ho Nasim Ahmed Tasce Bongiovanni Kartik Prabhakaran Asanthi Ratnasekera Sasha D Adams Joseph Posluszny Jody Digiacomo Milad Behbahaninia Melissa Hornor Jennifer Knight-Davis Tanya Egodage Elisabeth Swezey Adin Tyler Putnam Caitlin Cohan |
| author_facet | Bellal Joseph Vanessa P Ho Nasim Ahmed Tasce Bongiovanni Kartik Prabhakaran Asanthi Ratnasekera Sasha D Adams Joseph Posluszny Jody Digiacomo Milad Behbahaninia Melissa Hornor Jennifer Knight-Davis Tanya Egodage Elisabeth Swezey Adin Tyler Putnam Caitlin Cohan |
| author_sort | Bellal Joseph |
| collection | DOAJ |
| description | Background Geriatric trauma patients are an increasing population of the United States (US), sustaining a high incidence of falls, and suffer greater morbidity and mortality to their younger counterparts. Significant variation and challenges exist to optimize outcomes for this cohort, while being mindful of available resources. This manuscript provides concise summary of locoregional and national practices, including relevant updates in the triage of geriatric trauma in an effort to synthesize the results and provide guidance for further investigation.Methods We conducted a review of geriatric triage in the United States (US) at multiple stages in the care of the older patient, evaluating existing literature and guidelines. Opportunities for improvement or standardization were identified.Results Opportunities for improved geriatric trauma triage exist in the pre-hospital setting, in the trauma bay, and continue after admission. They may include physiologic criteria, biochemical markers, radiologic criteria and even age. Recent Trauma Quality Improvement Program (TQIP) Best Practices Guidelines for Geriatric Trauma Management published in 2024 support these findings.Conclusion Trauma systems must adjust to provide optimal care for older adults. Further investigation is required to provide pertinent guidance. |
| format | Article |
| id | doaj-art-d4bb245112684d2bba845007716ea2f5 |
| institution | Kabale University |
| issn | 2397-5776 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Trauma Surgery & Acute Care Open |
| spelling | doaj-art-d4bb245112684d2bba845007716ea2f52025-01-09T20:25:09ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762024-11-019110.1136/tsaco-2024-001395Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma CommitteeBellal Joseph0Vanessa P Ho1Nasim Ahmed2Tasce Bongiovanni3Kartik Prabhakaran4Asanthi Ratnasekera5Sasha D Adams6Joseph Posluszny7Jody Digiacomo8Milad Behbahaninia9Melissa Hornor10Jennifer Knight-Davis11Tanya Egodage12Elisabeth Swezey13Adin Tyler Putnam14Caitlin Cohan15The University of Arizona College of Medicine Tucson, Tucson, Arizona, USAOrthopaedic Surgery, MetroHealth System, Cleveland, Ohio, USASurgery, Division of Trauma, Jersey Shore University Medical Center, Neptune City, New Jersey, USASurgery, University of San Francisco, San Francisco, California, USASurgery, Westchester Medical Center Health Network, Valhalla, New York, USAChristianaCare Health System, Newark, DE, USADepartment of Surgery, University of Texas McGovern Medical School, Houston, Texas, USANorthwestern Memorial Hospital, Chicago, Illinois, USANassau University Medical Center, East Meadow, New York, USAUniversity of South Florida, Tampa, Florida, USASurgery, Loyola University Chicago, Maywood, Illinois, USAThe Ohio State University Wexner Medical Center, Columbus, Ohio, USASurgery, Cooper University Health Care, Camden, New Jersey, USANassau University Medical Center, East Meadow, New York, USABaystate Health, Springfield, Massachusetts, USAUniversity of Pennsylvania, Philadelphia, Pennsylvania, USABackground Geriatric trauma patients are an increasing population of the United States (US), sustaining a high incidence of falls, and suffer greater morbidity and mortality to their younger counterparts. Significant variation and challenges exist to optimize outcomes for this cohort, while being mindful of available resources. This manuscript provides concise summary of locoregional and national practices, including relevant updates in the triage of geriatric trauma in an effort to synthesize the results and provide guidance for further investigation.Methods We conducted a review of geriatric triage in the United States (US) at multiple stages in the care of the older patient, evaluating existing literature and guidelines. Opportunities for improvement or standardization were identified.Results Opportunities for improved geriatric trauma triage exist in the pre-hospital setting, in the trauma bay, and continue after admission. They may include physiologic criteria, biochemical markers, radiologic criteria and even age. Recent Trauma Quality Improvement Program (TQIP) Best Practices Guidelines for Geriatric Trauma Management published in 2024 support these findings.Conclusion Trauma systems must adjust to provide optimal care for older adults. Further investigation is required to provide pertinent guidance.https://tsaco.bmj.com/content/9/1/e001395.full |
| spellingShingle | Bellal Joseph Vanessa P Ho Nasim Ahmed Tasce Bongiovanni Kartik Prabhakaran Asanthi Ratnasekera Sasha D Adams Joseph Posluszny Jody Digiacomo Milad Behbahaninia Melissa Hornor Jennifer Knight-Davis Tanya Egodage Elisabeth Swezey Adin Tyler Putnam Caitlin Cohan Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee Trauma Surgery & Acute Care Open |
| title | Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee |
| title_full | Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee |
| title_fullStr | Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee |
| title_full_unstemmed | Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee |
| title_short | Geriatric trauma triage: optimizing systems for older adults—a publication of the American Association for the Surgery of Trauma Geriatric Trauma Committee |
| title_sort | geriatric trauma triage optimizing systems for older adults a publication of the american association for the surgery of trauma geriatric trauma committee |
| url | https://tsaco.bmj.com/content/9/1/e001395.full |
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