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A consensus building exercise to determine research priorities for silver trauma
Abdullah Alshibani1,2, Jay Banerjee1,3, Fiona Lecky4
1Department of Health Sciences, College of Life Sciences, University of Leicester, Leicester, LE1 7HA, UK.
BMC Emergency Medicine
|August 23, 2020
Summary
Research priorities for Silver Trauma (major trauma from minor injuries in older adults) were identified. Key areas include older adults' trauma care goals, integrated geriatric-trauma care, and equitable access to trauma centers.
Area of Science:
- Geriatric Emergency Medicine
- Trauma Surgery
- Public Health Policy
Background:
- Silver Trauma, defined as major trauma from minor injury mechanisms in older adults, lacks research priority definition.
- Current emergency care research faces challenges in prioritizing Silver Trauma issues.
Purpose of the Study:
- To establish clear research priorities for Silver Trauma to guide future investigations.
- To inform clinicians, researchers, and organizations on critical areas for Silver Trauma research funding and efforts.
Main Methods:
- A three-stage modified Delphi technique was employed for consensus-based prioritization.
- The methodology included idea generation, expert ranking, and a consensus meeting.
Main Results:
- Twenty research questions were evaluated, with five prioritized by experts.
- The top three research priorities identified were: older adults' trauma care goals, post-Emergency Department geriatric-trauma care, and trauma center access equity for older adults.
Conclusions:
- This study provides a prioritized agenda for Silver Trauma research.
- The findings will direct future research efforts and resource allocation towards critical unanswered questions in older adult trauma care.

