TY - JOUR
T1 - Geriatric Trauma Service
T2 - to Consult or Not to Consult?
AU - Snyder, Jason A.
AU - Rabideau, Amanda C.
AU - Schuerer, Douglas J.E.
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG part of Springer Nature.
PY - 2021/3
Y1 - 2021/3
N2 - Purpose of Review: This review focuses on the application of geriatric expertise to care for traumatically injured patients through the use of geriatrician consultation versus a surgeon-led geriatric trauma service (GTS). We offer guidance on elements needed to establish an effective geriatric trauma service. Recent Findings: Geriatrics expertise, through consultation, can have a positive effect on several important outcomes in the elderly injured. Several groups have published on recent successes with surgeon-led geriatric trauma services. Surgeon-led geriatric trauma services have shown improvements in discharge disposition and hospital length of stay and trends toward improved mortality. Regardless of approach, geriatrics experience and expertise as well as focused and intentional deployment of important resources appears to improve outcomes in geriatric trauma. Summary: Care for the elderly injured can be significantly improved by incorporating expertise in geriatrics. This can be accomplished by consultation of a geriatrician; however, consolidation of these patients onto a dedicated surgeon-led geriatric trauma service with dedicated hospital resources may be more effective.
AB - Purpose of Review: This review focuses on the application of geriatric expertise to care for traumatically injured patients through the use of geriatrician consultation versus a surgeon-led geriatric trauma service (GTS). We offer guidance on elements needed to establish an effective geriatric trauma service. Recent Findings: Geriatrics expertise, through consultation, can have a positive effect on several important outcomes in the elderly injured. Several groups have published on recent successes with surgeon-led geriatric trauma services. Surgeon-led geriatric trauma services have shown improvements in discharge disposition and hospital length of stay and trends toward improved mortality. Regardless of approach, geriatrics experience and expertise as well as focused and intentional deployment of important resources appears to improve outcomes in geriatric trauma. Summary: Care for the elderly injured can be significantly improved by incorporating expertise in geriatrics. This can be accomplished by consultation of a geriatrician; however, consolidation of these patients onto a dedicated surgeon-led geriatric trauma service with dedicated hospital resources may be more effective.
KW - Elderly injured
KW - GTS
KW - Geriatric trauma
KW - Geriatric trauma service
KW - Geriatric traumatology
KW - Trauma surgery
UR - http://www.scopus.com/inward/record.url?scp=85099098720&partnerID=8YFLogxK
U2 - 10.1007/s40719-020-00211-9
DO - 10.1007/s40719-020-00211-9
M3 - Review article
AN - SCOPUS:85099098720
SN - 2198-6096
VL - 7
SP - 15
EP - 23
JO - Current Trauma Reports
JF - Current Trauma Reports
IS - 1
ER -