Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases?
Background This study aimed to validate the Geriatric Trauma Outcome Score (GTOS) for predicting mortality associated with trauma in older Korean adults and compare the GTOS with the Trauma and Injury Severity Score (TRISS). Methods This study included patients aged ≥65 years who visited the Chungbu...
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| Language: | English |
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Korea Geriatrics Society
2024-12-01
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| Series: | Annals of Geriatric Medicine and Research |
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| Online Access: | http://www.e-agmr.org/upload/pdf/agmr-24-0095.pdf |
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| author | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Se Heon Kim Hong Rye Kim |
| author_facet | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Se Heon Kim Hong Rye Kim |
| author_sort | Jonghee Han |
| collection | DOAJ |
| description | Background This study aimed to validate the Geriatric Trauma Outcome Score (GTOS) for predicting mortality associated with trauma in older Korean adults and compare the GTOS with the Trauma and Injury Severity Score (TRISS). Methods This study included patients aged ≥65 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022. We used receiver operating characteristic curves and calibration plots to assess the discrimination and calibration of the scoring systems. Results Among 3,053 patients, the median age was 77 years, and the mortality rate was 5.2%. The overall GTOS-predicted mortality and 1–TRISS were 5.4% (interquartile range [IQR], 3.7–9.5) and 4.7% (IQR, 4.7–4.7), respectively. The areas under the curves (AUCs) of 1–TRISS and GTOS for the total population were 0.763 (95% confidence interval [CI], 0.719–0.806) and 0.794 (95% CI, 0.755–0.833), respectively. In the Glasgow Coma Scale (GCS) ≤12 group, the in-hospital mortality rate was 27.5% (79 deaths). The GTOS-predicted mortality and 1–TRISS in this group were 18.6% (IQR, 7.5–34.7) and 26.9% (IQR, 11.9–73.1), respectively. The AUCs of 1–TRISS and GTOS for the total population were 0.800 (95% CI, 0.776–0.854) and 0.744 (95% CI, 0.685–0.804), respectively. Conclusion The GTOS and TRISS demonstrated comparable accuracy in predicting mortality, while the GTOS offered the advantage of simpler calculations. However, the GTOS tended to underestimate mortality in patients with GCS ≤12; thus, its application requires care in such cases. |
| format | Article |
| id | doaj-art-db902834019548f2b769a4d6926a9660 |
| institution | Kabale University |
| issn | 2508-4798 2508-4909 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Korea Geriatrics Society |
| record_format | Article |
| series | Annals of Geriatric Medicine and Research |
| spelling | doaj-art-db902834019548f2b769a4d6926a96602025-01-06T08:12:12ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092024-12-0128448449010.4235/agmr.24.00951159Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases?Jonghee Han0Su Young Yoon1Junepill Seok2Jin Young Lee3Jin Suk Lee4Jin Bong Ye5Younghoon Sul6Se Heon Kim7Hong Rye Kim8 Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Cardiovascular and Thoracic Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Trauma Surgery, Trauma Center, Chungbuk National University Hospital, Cheongju, Korea Department of Neurosurgery, Trauma Center, Chungbuk National University Hospital, Cheongju, KoreaBackground This study aimed to validate the Geriatric Trauma Outcome Score (GTOS) for predicting mortality associated with trauma in older Korean adults and compare the GTOS with the Trauma and Injury Severity Score (TRISS). Methods This study included patients aged ≥65 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022. We used receiver operating characteristic curves and calibration plots to assess the discrimination and calibration of the scoring systems. Results Among 3,053 patients, the median age was 77 years, and the mortality rate was 5.2%. The overall GTOS-predicted mortality and 1–TRISS were 5.4% (interquartile range [IQR], 3.7–9.5) and 4.7% (IQR, 4.7–4.7), respectively. The areas under the curves (AUCs) of 1–TRISS and GTOS for the total population were 0.763 (95% confidence interval [CI], 0.719–0.806) and 0.794 (95% CI, 0.755–0.833), respectively. In the Glasgow Coma Scale (GCS) ≤12 group, the in-hospital mortality rate was 27.5% (79 deaths). The GTOS-predicted mortality and 1–TRISS in this group were 18.6% (IQR, 7.5–34.7) and 26.9% (IQR, 11.9–73.1), respectively. The AUCs of 1–TRISS and GTOS for the total population were 0.800 (95% CI, 0.776–0.854) and 0.744 (95% CI, 0.685–0.804), respectively. Conclusion The GTOS and TRISS demonstrated comparable accuracy in predicting mortality, while the GTOS offered the advantage of simpler calculations. However, the GTOS tended to underestimate mortality in patients with GCS ≤12; thus, its application requires care in such cases.http://www.e-agmr.org/upload/pdf/agmr-24-0095.pdftraumatrauma severity indicesolder adults |
| spellingShingle | Jonghee Han Su Young Yoon Junepill Seok Jin Young Lee Jin Suk Lee Jin Bong Ye Younghoon Sul Se Heon Kim Hong Rye Kim Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? Annals of Geriatric Medicine and Research trauma trauma severity indices older adults |
| title | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
| title_full | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
| title_fullStr | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
| title_full_unstemmed | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
| title_short | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
| title_sort | geriatric trauma outcome score for predicting mortality among older korean adults with trauma is it applicable in all cases |
| topic | trauma trauma severity indices older adults |
| url | http://www.e-agmr.org/upload/pdf/agmr-24-0095.pdf |
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