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Geriatric Trauma Activation.

Samara Sober1, Lauren Langman1, Ambika Mukhi1

  • 1Division of Trauma, Critical Care, and Emergency Surgery, Department of Surgery, Renaissance School of Medicine at Stony Brook University, Stony Brook, New York.

The Journal of Surgical Research
|October 7, 2025
PubMed
Summary
This summary is machine-generated.

Revised trauma team activation criteria for older adults increased patient activations, particularly for elderly falls on antithrombotics. While many had minor injuries, activated patients experienced faster CT scans and lower mortality rates.

Keywords:
Geriatric traumaGeriatricsOlder adultsTrauma activation criteriaTrauma team activationsTraumatic injuryTriage

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Area of Science:

  • Geriatric Trauma Care
  • Trauma System Optimization
  • Emergency Medicine

Background:

  • Geriatric-specific trauma team activation criteria were introduced to reduce undertriage in older adults.
  • This study evaluates changes in activation volumes and patient outcomes following revised criteria implementation.

Purpose of the Study:

  • To assess the impact of revised trauma team activation criteria on activation rates and outcomes in geriatric trauma patients.
  • To analyze resource utilization and patient disposition post-guideline revision.

Main Methods:

  • Retrospective analysis of data from a level I trauma center's registry and a nonregistry repository.
  • Inclusion criteria: patients aged 65 years or older with blunt trauma, analyzed pre- and post-guideline revision.
  • Examination of trauma team activation rates, resource use, and patient outcomes.

Main Results:

  • Trauma team activations significantly increased post-revision for both registry and nonregistry patients.
  • Elderly falls on antithrombotics became the most common activation criterion.
  • Activated patients showed lower Injury Severity Scores, reduced mortality, and increased emergency department to home discharge rates.

Conclusions:

  • Revised criteria led to a marked increase in trauma activations, with a notable proportion involving minor injuries or no injuries.
  • Increased activations were primarily driven by elderly falls on antithrombotics.
  • Opportunities for optimizing resource utilization within the trauma system may exist.