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A Video-Based Support Tool to Enhance Code Status Discussions in Older Adults After Trauma: A Prospective Pilot
Ashna S Karpe1, Mokunfayo O Fajemisin1,2,3, Stephanie Martinez Ugarte1,2,3
1Department of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston), Houston, Texas, USA.
Journal of the American Geriatrics Society
|August 10, 2026
Summary
A video aid improved understanding of cardiopulmonary resuscitation (CPR) and code status discussions for injured older adults and their surrogates. The tool was well-understood and recommended, showing promise for clinical use.
Area of Science:
- Geriatric Medicine
- Trauma Surgery
- Medical Education
Background:
- Code status discussions (CSD) are crucial for injured older adults but are often overlooked.
- Video-based aids can enhance CSD, yet their effectiveness in trauma patients is understudied.
- Limited data exists on the utility of video aids for older adults and surrogates post-trauma.
Purpose of the Study:
- To evaluate the acceptability and effectiveness of a video-based conversation aid for improving understanding of CPR among injured older adults and their surrogates.
- To assess patient and surrogate perceptions of a video aid designed for code status discussions.
Main Methods:
- A multidisciplinary team developed a video aid outlining code status and life-sustaining care.
- Patients and surrogates admitted after trauma viewed the video.
- Participants completed health literacy assessments and surveys on video perception.
Main Results:
- A majority of patients (83%) and surrogates (67%) felt the video improved CPR understanding.
- Most participants (93%) found the video easy to understand and comfortable.
- 78% of participants would recommend the video aid to others.
Conclusions:
- The video aid is easily understood and accepted by injured older adults and their surrogates.
- Participants perceived the video as effective in enhancing CPR knowledge.
- Further research is needed to confirm the video's impact in routine clinical practice.