{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T20:19:31Z","timestamp":1788985171254,"version":"build-2803163510"},"reference-count":31,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["americanjournalofsurgery.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Surgery"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.amjsurg.2026.117151","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:18:31Z","timestamp":1784301511000},"page":"117151","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Prevalence and predictors of low-acuity interfacility transfer in minimal injury severity geriatric trauma patients"],"prefix":"10.1016","volume":"261","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8303-6636","authenticated-orcid":false,"given":"Arnav","family":"Mahajan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9565-4727","authenticated-orcid":false,"given":"Priyash","family":"Hafiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3635-7924","authenticated-orcid":false,"given":"Jiwook","family":"Shin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2367-5005","authenticated-orcid":false,"given":"Avaneesh","family":"Bellampalli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7487-6308","authenticated-orcid":false,"given":"Emma","family":"West","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Podugu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Dvorak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6113-2555","authenticated-orcid":false,"given":"Vanessa P.","family":"Ho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib1","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s13017-024-00537-8","article-title":"The 2023 WSES guidelines on the management of trauma in elderly and frail patients","volume":"19","author":"De Simone","year":"2024","journal-title":"World J Emerg Surg"},{"key":"10.1016\/j.amjsurg.2026.117151_bib2","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.jss.2022.06.006","article-title":"Undertriage of geriatric trauma patients in Florida","volume":"279","author":"Weber","year":"2022","journal-title":"J Surg Res"},{"key":"10.1016\/j.amjsurg.2026.117151_bib3","doi-asserted-by":"crossref","DOI":"10.1016\/j.surg.2025.109524","article-title":"Patterns and implications of missed injuries on computed tomography imaging in older blunt trauma patients","volume":"185","author":"Kishawi","year":"2025","journal-title":"Surgery"},{"key":"10.1016\/j.amjsurg.2026.117151_bib4","series-title":"Best Practices Guidelines, Geriatric Trauma Management","year":"2023"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib5","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.jss.2015.05.017","article-title":"Undertriage of older trauma patients: is this a national phenomenon?","volume":"199","author":"Kodadek","year":"2015","journal-title":"J Surg Res"},{"issue":"8","key":"10.1016\/j.amjsurg.2026.117151_bib6","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1001\/archsurg.143.8.776","article-title":"Undertriage of elderly trauma patients to state-designated trauma centers","volume":"143","author":"Chang","year":"2008","journal-title":"Arch Surg"},{"issue":"6","key":"10.1016\/j.amjsurg.2026.117151_bib7","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1097\/TA.0000000000002248","article-title":"Should they stay or should they go? Who benefits from interfacility transfer to a higher-level trauma center following initial presentation at a lower-level trauma center","volume":"86","author":"Adzemovic","year":"2019","journal-title":"J Trauma Acute Care Surg"},{"issue":"6","key":"10.1016\/j.amjsurg.2026.117151_bib8","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1097\/TA.0000000000003572","article-title":"The public health burden of geriatric trauma: analysis of 2,688,008 hospitalizations from Centers for Medicare and Medicaid Services inpatient claims","volume":"92","author":"Fakhry","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib9","first-page":"45","article-title":"Secondary overtriage of trauma patients in a trauma center: frequency and associated factors","volume":"15","author":"Moslehi","year":"2023","journal-title":"J Injury Violence ReS"},{"issue":"6","key":"10.1016\/j.amjsurg.2026.117151_bib10","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1007\/s00068-019-01195-1","article-title":"High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients","volume":"46","author":"Hensgens","year":"2020","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib11","doi-asserted-by":"crossref","DOI":"10.1016\/j.injury.2023.110972","article-title":"Geriatric trauma, frailty, and ACS trauma center verification level: are there any correlations with outcomes?","volume":"55","author":"El-Qawaqzeh","year":"2024","journal-title":"Injury"},{"key":"10.1016\/j.amjsurg.2026.117151_bib12","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.jss.2024.03.049","article-title":"Should we keep or transfer our severely injured geriatric patients to higher levels of care?","volume":"300","author":"Hosseinpour","year":"2024","journal-title":"J Surg Res"},{"issue":"9","key":"10.1016\/j.amjsurg.2026.117151_bib13","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.34172","article-title":"Costs of transfer from nontrauma to trauma centers among patients with minor injuries","volume":"7","author":"Tillmann","year":"2024","journal-title":"JAMA Netw Open"},{"issue":"11","key":"10.1016\/j.amjsurg.2026.117151_bib14","doi-asserted-by":"crossref","first-page":"1282","DOI":"10.1001\/jamasurg.2024.3254","article-title":"Outcomes of patients with traumatic brain injury transferred to trauma centers","volume":"159","author":"Bhogadi","year":"2024","journal-title":"JAMA Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib15","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/TA.0000000000004390","article-title":"Scanning the aged to minimize missed injury: an eastern association for the surgery of trauma multicenter study","volume":"98","author":"Ho","year":"2025","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib16","article-title":"Optimizing CT resource use in geriatric trauma: is less sometimes more?","volume":"10","author":"Mahajan","year":"2025","journal-title":"Trauma Surg Acute Care Open"},{"key":"10.1016\/j.amjsurg.2026.117151_bib17","series-title":"Best Practices Guidelines, Geriatric Trauma Management","year":"2013"},{"issue":"10","key":"10.1016\/j.amjsurg.2026.117151_bib18","first-page":"2124","article-title":"Are patients being transferred to level-I trauma centers for reasons other than medical necessity?","volume":"88","author":"Koval","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"10.1016\/j.amjsurg.2026.117151_bib19","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1097\/00005373-200105000-00002","article-title":"Payer status: the unspoken triage criterion","volume":"50","author":"Nathens","year":"2001","journal-title":"J Trauma"},{"issue":"7","key":"10.1016\/j.amjsurg.2026.117151_bib20","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1197\/j.aem.2006.02.014","article-title":"Variability of trauma transfer practices among non-tertiary care hospital emergency departments","volume":"13","author":"Newgard","year":"2006","journal-title":"Acad Emerg Med"},{"issue":"8","key":"10.1016\/j.amjsurg.2026.117151_bib21","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1001\/jamasurg.2014.296","article-title":"Superiority of frailty over age in predicting outcomes among geriatric trauma patients: a prospective analysis","volume":"149","author":"Joseph","year":"2014","journal-title":"JAMA Surg"},{"issue":"5","key":"10.1016\/j.amjsurg.2026.117151_bib22","doi-asserted-by":"crossref","DOI":"10.1093\/ageing\/afad073","article-title":"Does frailty status predict outcome in major trauma in older people? A systematic review and meta-analysis","volume":"52","author":"Alqarni","year":"2023","journal-title":"Age Ageing"},{"issue":"2","key":"10.1016\/j.amjsurg.2026.117151_bib23","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/TA.0000000000003627","article-title":"National guideline for the field triage of injured patients: recommendations of the national expert panel on field triage, 2021","volume":"93","author":"Newgard","year":"2022","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.amjsurg.2026.117151_bib24","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1080\/20476965.2020.1768807","article-title":"Organisational factors underpinning intra-hospital transfers: a guide for evaluating context in quality improvement","volume":"10","author":"Fekieta","year":"2021","journal-title":"Health Syst (Basingstoke)"},{"issue":"5","key":"10.1016\/j.amjsurg.2026.117151_bib25","first-page":"331","article-title":"Mixed methods study of the interfacility transfer system utilizing both patient-reported experiences and direct observation of the transfer consent process","volume":"51","author":"Stewart","year":"2025","journal-title":"Joint Comm J Qual Patient Saf"},{"key":"10.1016\/j.amjsurg.2026.117151_bib26","doi-asserted-by":"crossref","first-page":"72","DOI":"10.56068\/XMNT1470","article-title":"Improving the interfacility transport experience: implementation of a Mobile delirium\/hospice box","author":"Tillett","year":"2025","journal-title":"Int J Paramed"},{"issue":"3","key":"10.1016\/j.amjsurg.2026.117151_bib27","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/01.TA.0000047809.64699.59","article-title":"The effect of interfacility transfer on outcome in an urban trauma system","volume":"55","author":"Nathens","year":"2003","journal-title":"J Trauma"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib28","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/TA.0000000000003139","article-title":"Futile trauma transfers: an infrequent but costly component of regionalized trauma care","volume":"91","author":"Follette","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.amjsurg.2026.117151_bib29","doi-asserted-by":"crossref","DOI":"10.1111\/jgs.70320","article-title":"Association of geriatric consult services with geriatric processes of care and clinical outcomes in US trauma centers","author":"Ordoobadi","year":"2026","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10.1016\/j.amjsurg.2026.117151_bib30","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2024-001360","article-title":"Exploring the implications of direct oral anticoagulants in trauma","volume":"9","author":"Mahajan","year":"2024","journal-title":"Trauma Surg Acute Care Open"},{"issue":"4","key":"10.1016\/j.amjsurg.2026.117151_bib31","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2024-001664","article-title":"Concomitant antithrombotic therapy and substance use in older adult trauma patients: a secondary evaluation of an EAST multicenter trial","volume":"10","author":"Sheffield","year":"2025","journal-title":"Trauma Surg Acute Care Open"}],"container-title":["The American Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961026003363?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0002961026003363?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T19:54:52Z","timestamp":1788983692000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0002961026003363"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":31,"alternative-id":["S0002961026003363"],"URL":"https:\/\/doi.org\/10.1016\/j.amjsurg.2026.117151","relation":{},"ISSN":["0002-9610"],"issn-type":[{"value":"0002-9610","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prevalence and predictors of low-acuity interfacility transfer in minimal injury severity geriatric trauma patients","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.amjsurg.2026.117151","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"117151"}}