Comparison of Geriatric Versus Non-geriatric Trauma Patients

J o u r n a l o f S u r g i c a l R e s e a r c h m o n t h 2 0 2 1 ( 2 6 4 ) 1 4 9 1 5 7
Available online at www.sciencedirect.com
j o u r n a l h o m e p a g e : w w w . e l s e v i e r. c o m / l o c a t e / Y J S R E
Comparison of Geriatric Versus Non-geriatric Trauma Patients With Palliative Care Consultations ,
Joanna Wycech, MS,a , c Alexander A Fokin, MDPhD,a , b ,
Jeffrey K. Katz, MD,a , b Sari Viitaniemi, RNMSN,a Nicholas Menzione, MD,a
and Ivan Puente, MDFACS,a , b , c , d
a Division of Trauma and Critical Care Services, Delray Medical Center, Delray Beach, Florida b Department of Surgery, Florida Atlantic University, Charles E. Schmidt College of Medicine, Boca Raton, Florida c Division of Trauma and Critical Care Services, Broward Health Medical Center, Fort Lauderdale, Florida d Department of Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, Florida
a r t i c l e i n f o
Article history:
Received 8 October 2020
Revised 22 January 2021
Accepted 27 February 2021
Keywords:
Geriatric trauma
Palliative care
Palliative care consultations
Do-Not-Resuscitate orders
Mortality
Futile interventions
Propensity matched comparison
a b s t r a c t
Background: Palliative care in trauma patients is still evolving. The goal was to compare char-
acteristics, outcomes, triggers and timing for palliative care consultations (PCC) in geriatric
( 65 y.o.) and non-geriatric trauma patients . Materials and methods: Retrospective study included 432 patients from two level 1 trauma
centers who received PCC between December 2012 and January 2019. Non-geriatric ( n = 61) and geriatric ( n = 371) groups were compared for: mechanism of injury (MOI), Injury Sever- ity Score (ISS), Revised Trauma Score (RTS), Glasgow Coma Score (GCS), Do-Not-Resuscitate
(DNR) orders, futile interventions (FI), duration of mechanical ventilation (DMV), ICU admis-
sions, ICU and hospital lengths of stay (ICULOS; HLOS), timing to PCC, and mortality. Fur-
ther propensity matching (PM) analysis compared 59 non-geriatric to 59 Geriatric patients
matched by ISS, GCS, and DNR.
Results: Geriatric patients were older (85.2 versus 49.7), with falls as predominant MOI. Non-
geriatric patients comprised 14.1% of all patients with PCC and were more severely injured
than Geriatrics: with statistically higher ISS (24.1 versus 18.5), lower RTS (5.4 versus 7.0), GCS
(7.1 versus 11.5), with predominant MOI being traffic accidents, all P < 0.01. Non-Geriatrics
had more ICU admissions (96.7% versus 88.1%), longer ICULOS (10.2 versus 4.7 days), DMV
(11.1 versus 4.1 days), less DNR (57.4% versus 73.9%), higher in-hospital mortality (12.5% versus
2.6%), but double the time admission-PCC (11.3 versus 4.3 days) compared to Geriatrics, all
This is an IRB approved study. This manuscript is not under consideration elsewhere, has not been published previously and will not appear online or in print in any media until a decision is made concerning publication in the Journal of Surgical Research.
Corresponding author. Delray Medical Center, Division of Trauma and Critical Care Services 5352 Linton Boulevard Delray Beach, FL 33484.
E-mail address:[email protected](A.A. Fokin). 0022-4804/ 2021 Elsevier Inc. All rights reserved. https://doi.org/10.1016/j.jss.2021.02.017
 

 
150 J o u r n a l o f S u r g i c a l R e s e a r c h m o n t h 2 0 2 1 ( 2 6 4 ) 1 4 9 1 5 7

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Open chat
1
You can contact our live agent via WhatsApp! Via + 1 3234125597

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 30% with the discount code GIFT