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• W783629677 abstract "To evaluate the relationship between mechanism of injury and mortality in geriatric trauma patients and the ability of existing injury severity indices (ISIs) to assess mortality.Retrospective review.Urban level 1 trauma center.Four thousand five hundred forty-five trauma patients age ≥55 presenting between 2008 and 2011.Low-energy (LE-GTP) and high-energy (HE-GTP) geriatric trauma patient cohorts were created based on ICD-9 injury codes. Existing ISIs were evaluated for their ability to predict in-hospital mortality using the area under the receiver-operating characteristic curve (AUROC).Mortality.The Trauma Score-Injury Severity Score (TRISS) was the most predictive ISI for both cohorts and was deemed to have moderate predictive capacity (AUROC: 0.82) in LE-GTP and excellent predictive capacity (AUROC: 0.91) in the HE-GTP. For, HE-GTP each 1-year increase in age was associated with a 12% increase risk of mortality versus 6% for LE-GTP. Preexisting conditions (PECs) were distributed differently between the cohorts with significantly more PECs in the LE-GTP (P < 0.01).Existing ISIs have fair-to-moderate predictive capacity for in-hospital morality in LE-GTPs and moderate-to-excellent predictive capacity in HE-GTPs. LE-GTPs and HE-GTPs are distinct cohorts that should be evaluated separately. Combining the cohorts underestimates both the effect of age on HE-GTPs and the effect of PECs on LE-GTPs while overestimating the effect of PECs on HE-GTPs.Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence." @default.
• W783629677 created "2016-06-24" @default.
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• W783629677 date "2015-07-01" @default.
• W783629677 modified "2023-10-18" @default.
• W783629677 title "Mechanism of Injury Differentiates Risk Factors for Mortality in Geriatric Trauma Patients" @default.
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• W783629677 doi "https://doi.org/10.1097/bot.0000000000000281" @default.
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