Trauma Team Activation Criteria Effectiveness for the Management of Geriatric Patient Fall Injuries.

IF 0.9 4区 医学 Q3 SURGERY
American Surgeon Pub Date : 2025-11-01 Epub Date: 2025-07-03 DOI:10.1177/00031348251358437
Robert M Branstetter, William P Le Clercq, Monique St Romain, John P Hunt, Alan B Marr, Patrick Greiffenstein, Lance E Stuke, Jonathan E Schoen, Juan C Duchesne, Alison A Smith
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引用次数: 0

Abstract

Falls are a leading cause of morbidity and mortality among the elderly, yet standardized trauma activation guidelines for this population remain lacking. This study analyzed trauma activation criteria for geriatric patients (>65 years) at a level 1 trauma center, focusing on overtriage and undertriage rates. A retrospective review of 500 patients assessed activation levels, discharge outcomes, and ICU admissions. Overtriage, defined as discharge home post-activation, occurred in 18.5% of lower-level activations, compared to 3.7% in non-activations and 10.7% in higher activations. Undertriage, defined as ICU admission or mortality despite low or no activation, was observed in 29% of non-activated patients and 45.6% of lower-level activations. These findings highlight significant gaps in current triage practices, emphasizing the need for improved, standardized activation criteria to optimize resource allocation and outcomes for the growing geriatric trauma population.

创伤小组激活标准对老年患者跌倒损伤管理的有效性。
跌倒是老年人发病和死亡的主要原因,然而针对这一人群的标准化创伤激活指南仍然缺乏。本研究分析了一级创伤中心老年患者(bb0 ~ 65岁)的创伤激活标准,重点关注过度分类和分类不足率。一项对500例患者的回顾性研究评估了激活水平、出院结果和ICU入院情况。过度分类,定义为激活后出院回家,发生在低水平激活的18.5%,相比之下,未激活的3.7%和高激活的10.7%。在29%的未激活患者和45.6%的低激活患者中观察到分类不足,定义为低激活或无激活的ICU入院或死亡。这些发现突出了当前分诊实践的显著差距,强调需要改进、标准化的激活标准,以优化资源分配和日益增长的老年创伤人群的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Surgeon
American Surgeon 医学-外科
CiteScore
1.40
自引率
0.00%
发文量
623
期刊介绍: The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.
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