@article{ref1,
title="Impact of geriatric consultations on clinical outcomes of elderly trauma patients: a retrospective analysis",
journal="American journal of surgery",
year="2017",
author="Dugan, James P. and Burns, Keith M. and Baldawi, Mustafa and Heidt, David G.",
volume="214",
number="6",
pages="1048-1052",
abstract="INTRODUCTION: The elderly account for a large proportion of morbidity and mortality secondary to trauma, despite lower-energy mechanisms of injury and fewer trauma admissions. The benefit of geriatric trauma consultation services (GTCS) to this population remains unclear. <br><br>METHODS: We performed a retrospective cohort analysis of a GTCS, which was established in January 2015. Patients over 60 admitted to the trauma service from January of 2014 to February 2016 were eligible. <br><br>RESULTS: There were no significant differences in 30-day and in-hospital mortalities, mean ICU and total lengths of stay, or complication rates. However, if a single complication was experienced, post-GTCS patients were nearly three times more likely to experience multiple complications. More patients in the GTCS group were discharged home, but were readmitted four times more often. <br><br>CONCLUSIONS: A mandatory GTCS was not associated with improved patient outcomes, suggesting that management exclusively by the trauma team is at least equally effective in treatment of geriatric trauma.<br><br>Copyright © 2017. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2017.09.001",
url="http://dx.doi.org/10.1016/j.amjsurg.2017.09.001"
}