Brown CV, Rix K, Klein AL, Ford B, Teixeira PG, Aydelotte J, Coopwood B, Ali S. A comprehensive investigation of comorbidities, mechanisms, injury patterns, and outcomes in geriatric blunt trauma patients. Am Surg. 2016;82(11):1055–62.

Article  PubMed  Google Scholar 

Committee on Trauma, American College of Surgeons. The content reproduced from the NTDB remains the full and exclusive copyrighted property of the American College of Surgeons. The American College of Surgeons is not responsible for any claims arising from works based on the original data, text, tables, or figures. NTDB Version 1, Chicago, IL. 2012.

Bhattacharya B, Maung A, Schuster K, Davis KA. The older they are the harder they fall: injury patterns and outcomes by age after ground level falls. Injury. 2016;47(9):1955–9.

Article  PubMed  Google Scholar 

Gelbard R, Inaba K, Okoye OT, Morrell M, Saadi Z, Lam L, Talving P, Demetriades D. Falls in the elderly: a modern look at an old problem. Am Surg. 2014;208(2):249–53.

Article  Google Scholar 

Keller JM, Sciadini MF, Sinclair E, O’Toole RV. Geriatric trauma: demographics, injuries, and mortality. J Orthop Trauma. 2012;26(9):e161–5.

Article  PubMed  Google Scholar 

Callaway DW, Wolfe R. Geriatric trauma. Emerg Med Clin N Am. 2007;25(3):837–60.

Article  Google Scholar 

Adams SD, Holcomb JB. Geriatric trauma. Curr Opin Crit Care. 2015;21(6):520–6.

PubMed  Google Scholar 

Mosenthal AC, Lavery RF, Addis M, Kaul S, Ross S, Marburger R, Deitch EA, Livingston DH. Isolated traumatic brain injury: age is an independent predictor of mortality and early outcome. J Trauma Acute Care Surg. 2002;52(5):907–11.

Article  Google Scholar 

Calland JF, Ingraham AM, Martin N, Marshall GT, Schulman CI, Stapleton T, Barraco RD. Evaluation and management of geriatric trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2012;73(5):S345–50.

Article  PubMed  Google Scholar 

Knudson MM, Lieberman J, Morris JA, Cushing BM, Stubbs HA. Mortality factors in geriatric blunt trauma patients. Arch Surg. 1994;129(4):448–53.

Article  CAS  PubMed  Google Scholar 

Horst HM, Obeid FN, Sorensen VJ, Bivins BA. Factors influencing survival of elderly trauma patients. Crit Care Med. 1986;14(8):681–4.

Article  CAS  PubMed  Google Scholar 

•• Lau L, Ajzenberg H, Haas B, Wong CL. Trauma in the aging population: geriatric trauma pearls. Emerg Med Clin. 2023;41(1):183–203. Describes geriatric trauma and key considerations regarding the unique aspects of providing care during geriatric trauma cases.

Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures. J Trauma Acute Care Surg. 1994;37(6):975–9.

Article  CAS  Google Scholar 

Palvanen M, Kannus P, Niemi S, Parkkari J. Hospital-treated minimal-trauma rib fractures in elderly Finns: long-term trends and projections for the future. Osteoporosis Int. 2004;15:649–53.

Article  CAS  Google Scholar 

Pehle B, Nast-Kolb D, Oberbeck R, Waydhas C, Ruchholtz S. Significance of physical examination and radiography of the pelvis during treatment in the shock emergency room. Unfallchirurg. 2003;106:642–8.

Article  CAS  PubMed  Google Scholar 

• Ibitoye SE, Braude P, Carter B, Rickard F, Deakin H, Martin R, Thompson J, Walton B, Shipway D. Geriatric assessment is associated with reduced mortality at 1 year for older adults admitted to a major trauma center: a prospective observational study. Ann Surg. 2023;277(2):343–9. Describes the benefits behind a multidisciplinary approach in geriatric trauma management.

Mangram AJ, Mitchell CD, Shifflette VK, Lorenzo M, Truitt MS, Goel A, Lyons MA, Nichols DJ, Dunn EL. Geriatric trauma service: a one-year experience. J Trauma Acute Care Surg. 2012;72(1):119–22.

Article  PubMed  Google Scholar 

Fallon WF Jr, Rader E, Zyzanski S, Mancuso C, Martin B, Breedlove L, DeGolia P, Allen K, Campbell J. Geriatric outcomes are improved by a geriatric trauma consultation service. J Trauma Acute Care Surg. 2006;61(5):1040–6.

Article  Google Scholar 

Southerland LT, Gure TR, Ruter DI, Li MM, Evans DC. Early geriatric consultation increases adherence to TQIP geriatric trauma management guidelines. J Surg Res. 2017;1(216):56–64.

Article  Google Scholar 

• Eagles D, Godwin B, Cheng W, Moors J, Figueira S, Khoury L, Fournier K, Lampron J. A systematic review and meta-analysis evaluating geriatric consultation on older trauma patients. J Trauma Acute Care Surg. 2020;88(3):446–53. Meta-analysis focusing on the role of geriatric trauma services and their effect on patient LOS and mortality.

Burton JK, Craig LE, Yong SQ, Siddiqi N, Teale EA, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ. Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database Syst Rev. 2021;7.

Gill TM, Gahbauer EA, Han L, Allore HG. Functional trajectories in older persons admitted to a nursing home with disability after an acute hospitalization. J Am Geriatr Soc. 2009;57(2):195–201.

Article  PubMed  Google Scholar 

Kosse NM, Dutmer AL, Dasenbrock L, Bauer JM, Lamoth CJ. Effectiveness and feasibility of early physical rehabilitation programs for geriatric hospitalized patients: a systematic review. BMC Geriatr. 2013;13(1):1–6.

Article  Google Scholar 

Garcia D, Regan S, Crowther M, Hughes RA, Hylek EM. Warfarin maintenance dosing patterns in clinical practice. Chest. 2005;127(6):2049–56.

Article  CAS  PubMed  Google Scholar 

Patti G, Lucerna M, Pecen L, Siller-Matula JM, Cavallari I, Kirchhof P, De Caterina R. Thromboembolic risk, bleeding outcomes and effect of different antithrombotic strategies in very elderly patients with atrial fibrillation: a sub-analysis from the PREFER in AF (PREvention oF Thromboembolic Events-European Registry in Atrial Fibrillation). J Am Heart Assoc. 2017;6(7):e005657.

Article  PubMed  PubMed Central  Google Scholar 

Cavallari I, Patti G. Efficacy and safety of oral anticoagulation in elderly patients with atrial fibrillation. Anatol J Cardiol. 2018;19(1):67. https://doi.org/10.14744/AnatolJCardiol.2017.8256.

• Nederpelt CJ, Naar L, Meier K, van Wijck SF, Krijnen P, Velmahos GC, Kaafarani HM, Rosenthal MG, Schipper IB. Treatment and outcomes of anticoagulated geriatric trauma patients with traumatic intracranial hemorrhage after falls. Eur J Trauma Emerg Surg. 2022;48(5):4297–304. Compares patient outcomes, morbidities and mortality with the use of DOAC’s and VKA in geriatric cases.

• Deng K, Cheng J, Rao S, Xu H, Li L, Gao Y. Efficacy and safety of direct oral anticoagulants in elderly patients with atrial fibrillation: a network meta-analysis. Front Med. 2020;7:107. https://doi.org/10.3389/fmed.2020.00107. Characterizes the use and management of DOAC’s in geriatric patients.

Halvorsen S, Atar D, Yang H, De Caterina R, Erol C, Garcia D, Granger CB, Hanna M, Held C, Husted S, Hylek EM. Efficacy and safety of apixaban compared with warfarin according to age for stroke prevention in atrial fibrillation: observations from the ARISTOTLE trial. Eur Heart J. 2014;35(28):1864–72.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Paisley MJ, Johnson A, Price S, Chow B, Limon L, Sharma R, Kaminski S. Reversal of warfarin anticoagulation in geriatric traumatic brain injury due to ground-level falls. Trauma Surg. Acute Care Open. 2019;4(1):e000352. https://doi.org/10.1136/tsaco-2019-000352.

White K, Faruqi U, Cohen AA. New agents for DOAC reversal: a practical management review. Br J Card. 2022;29(1). https://doi.org/10.5837/bjc.2022.001.

Shepperd S, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL. Discharge planning from hospital to home. Cochrane Database Syst Rev. 2013;(1).

Victor CR, Healy J, Thomas A, Seargeant J. Older patients and delayed discharge from hospital. Health Soc Care Community. 2000;8(6):443–52.

Article  PubMed  Google Scholar 

Grimmer K, Moss J, Falco J. Becoming a carer for an elderly person after discharge from an acute hospital admission. Internet J Allied Health Sci Pract. 2004;2(4):4.

Google Scholar 

Jewell SE. Discovery of the discharge process: a study of patient discharge from a care unit for elderly people. J Adv Nurs. 1993;18(8):1288–96.

Article  CAS  PubMed  Google Scholar 

Bours GJ, Ketelaars CA, Frederiks CM, Abu-Saad HH, Wouters EF. The effects of aftercare on chronic patients and frail elderly patients when discharged from hospital: a systematic review. J Adv Nurs. 1998;27(5):1076–86.

Article  CAS  PubMed  Google Scholar 

Joseph B, Pandit V, Rhee P, Aziz H, Sadoun M, Wynne J, Tang A, Kulvatunyou N, O’Keeffe T, Fain MJ, Friese RS. Predicting hospital discharge disposition in geriatric trauma patients: is frailty the answer? J Trauma Acute Care Surg. 2014;76(1):196–200.

Article  PubMed  Google Scholar 

Polanczyk CA, Marcantonio E, Goldman L, Rohde LE, Orav J, Mangione CM, Lee TH. Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery. Ann Intern Med. 2001;134(8):637–43.

Article  CAS  PubMed  Google Scholar 

•• Thompson A, Gida S, Nassif Y, Hope C, Brooks A. The impact of frailty on trauma outcomes using the clinical frailty scale. Eur J Trauma Emerg. Surg. 2021:1–6. Focuses on variations in physiological reserve in geriatric patients and how this can be used by the physician to assess postoperative outcomes for hospital disposition planning.

Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6):716–24.

Article  CAS  PubMed  Google Scholar 

• Rameli PM, Rajendran N. Outcomes of complex discharge planning in older adults with complex needs: a scoping review. J Int Med. 2022;50(7):03000605221110511. https://doi.org/10.1177/03000605221110511. Meta-analysis with findings focused on the need for multi-disciplinary collaboration and best practices during the discharge of complex geriatric cases.

Zafonte RD, Hammond FM, Mann NR, Wood DL, Black KL, Millis SR. Relationship between Glasgow coma scale and functional Outcome1. Am J Phys Med Rehabil. 1996;75(5):364–9.

Article  CAS  PubMed  Google Scholar 

Foreman BP, Caesar RR, Parks J, Madden C, Gentilello LM, Shafi S, Carlile MC, Harper CR, Diaz-Arrastia RR. Usefulness of the abbreviated injury score and the injury severity score in comparison to the Glasgow coma scale in predicting outcome after traumatic brain injury. J Trauma Acute Care Surg. 2007;62(4):946–50.

Article  Google Scholar 

Davenport DL, Bowe EA, Henderson WG, Khuri SF, Mentzer RM Jr. National Surgical Quality Improvement Program (NSQIP) risk factors can be used to validate American Society of Anesthesiologists Physical Status classification (ASA PS) levels. Ann Surg. 2006;243(5):636.

Article  PubMed  PubMed Central  Google Scholar 

McDermott A, Kerr G, Browne J. Association between clinical frailty scale score and length of stay in a complex discharge unit. Ir Med J. 2021;114:238.

Google Scholar 

Poulton A, Shaw JF, Nguyen F, Wong C, Lampron J, Tran A, Lalu MM, McIsaac DI. The association of frailty with adverse outcomes after multisystem trauma: a systematic review and meta-analysis. Anesth Analg. 2019;130(6):1482–92.

Article  Google Scholar 

Wee SL, Loke CK, Liang C, Ganesan G, Wong LM, Cheah J. Effectiveness of a national transitional care program in reducing acute care use. J Am Geriatr Soc. 2014;62(4):747–53.

Article  PubMed  Google Scholar 

Everink IH, van Haastregt J, Tan FE, Schols JM, Kempen GI. The effectiveness of an integrated care pathway in geriatric rehabilitation among older patients with complex health problems and their informal caregivers: a prospective cohort study. BMC Geriatr. 2018;18(1):1–3. https://doi.org/10.1186/s12877-018-0971-4.

Article  Google Scholar 

Altfeld SJ, Shier GE, Rooney M, Johnson TJ, Golden RL, Karavolos K, Avery E, Nandi V, Perry AJ. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist. 2013;53(3):430–40.

Article  PubMed  Google Scholar