{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T11:00:04Z","timestamp":1785236404063,"version":"3.55.0"},"reference-count":42,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2011,8,4]],"date-time":"2011-08-04T00:00:00Z","timestamp":1312416000000},"content-version":"unspecified","delay-in-days":64,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Introduction:<\/jats:bold> The geriatric population is unique in the type of traumatic injuries sustained, physiological responses to those injuries, and an overall higher mortality when compared to younger adults. No published, evidence-based, geriatric-specific field destination criteria exist as part of a statewide trauma system. The Trauma Committee of the Ohio Emergency Medical Services (EMS) Board sought to develop specific criteria for geriatric trauma victims.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> A literature search was conducted for all relevant literature to determine potential, geriatric-specific, field-destination criteria. Data from the Ohio Trauma Registry were used to compare elderly patients, defined as age &gt;70 years, to all patients between the ages of 16 to 69 years with regards to mortality risk in the following areas: (1) Glasgow Coma Scale (GCS) score; (2) systolic blood pressure (SBP); (3) falls associated with head, chest, abdominal or spinal injury; (4) mechanism of injury; (5) involvement of more than one body system as defined in the Barell matrix; and (6) co-morbidities and motor vehicle collision with one or more long bone fracture. For GCS score and SBP, those cut-off points with equal or greater risk of mortality as compared to current values were chosen as proposed triage criteria. For other measures, any criterion demonstrating a statistically significant increase in mortality risk was included in the proposed criteria.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The following criteria were identified as geriatric-specific criteria: (1) GCS score &lt;14 in the presence of known or suspected traumatic brain trauma; (2) SBP &lt;100 mmHg; (3) fall from any height with evidence of traumatic brain injury: (4) multiple body-system injuries; (5) struck by a moving vehicle; and (6) the presence of any proximal long bone fracture following motor vehicle trauma. In addition, these data suggested that elderly patients with specific co-morbidities be given strong consideration for evaluation in a trauma center.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> The state of Ohio is the first state to develop evidence-based geriatric-specific field-destination criteria using data from its state-mandated trauma registry. Further analysis of these criteria will help determine their effects on over-triage and under-triage of geriatric victims of traumatic injuries and the impact on the overall mortality in the elderly.<\/jats:p>","DOI":"10.1017\/s1049023x11006315","type":"journal-article","created":{"date-parts":[[2011,8,4]],"date-time":"2011-08-04T05:20:55Z","timestamp":1312435255000},"page":"170-179","source":"Crossref","is-referenced-by-count":80,"title":["Development of Statewide Geriatric Patients Trauma Triage Criteria"],"prefix":"10.1017","volume":"26","author":[{"given":"Howard A.","family":"Werman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Erskine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Caterino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane F.","family":"Riebe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tricia","family":"Valasek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Members of the Trauma Committee of the State of Ohio EMS Board","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2011,8,4]]},"reference":[{"key":"S1049023X11006315_ref025","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50051.x"},{"key":"S1049023X11006315_ref041","first-page":"117","article-title":"A comparison of the Ohio and American College of Surgeons Guidelines in identifying trauma center need for older adults (abstract)","volume":"13","author":"Cushman","year":"2009","journal-title":"Prehosp Emerg Care"},{"key":"S1049023X11006315_ref039","unstructured":"National Diabetes Statistics, 2007 from the National Diabetes Information Clearinghouse. Bethesda, MD: US Department of Health and Human Resources, pp 1\u201324."},{"key":"S1049023X11006315_ref036","doi-asserted-by":"publisher","DOI":"10.1067\/men.2003.59"},{"key":"S1049023X11006315_ref033","unstructured":"Ohio Revised Code 4765.06 (B) Emergency medical services incidence reporting system\u2014State trauma registry."},{"key":"S1049023X11006315_ref032","unstructured":"CDC. National Center for Health Statistics: The Barell Injury Diagnosis Matrix, Classification by Body Region and Nature of the Injury. Available at http:\/\/www.cdc.gov\/nchs\/data\/ice\/final_matrix_post_ice.pdf. Accessed 24 June 2010."},{"key":"S1049023X11006315_ref030","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.10.1093"},{"key":"S1049023X11006315_ref038","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1097\/01.TA.0000046258.81127.E1","article-title":"System compliance with out of hospital trauma triage criteria","volume":"54","author":"Baez","year":"2003","journal-title":"J Trauma"},{"key":"S1049023X11006315_ref027","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000042015.54022.BE"},{"key":"S1049023X11006315_ref026","unstructured":"Personal communication: David Schatz, MD, Florida EMS Advisory Council, January 2007."},{"key":"S1049023X11006315_ref024","doi-asserted-by":"publisher","DOI":"10.1053\/ajem.2002.30107"},{"key":"S1049023X11006315_ref009","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31812e5216"},{"key":"S1049023X11006315_ref021","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00027576"},{"key":"S1049023X11006315_ref018","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00005373-199901000-00029","article-title":"Compliance with prehospital triage protocols for major trauma patients","volume":"46","author":"Ma","year":"1999","journal-title":"J Trauma"},{"key":"S1049023X11006315_ref007","doi-asserted-by":"publisher","DOI":"10.1111\/j.1041-2972.2005.0020.x"},{"key":"S1049023X11006315_ref017","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.8.776"},{"key":"S1049023X11006315_ref015","unstructured":"CDC: Field Triage Decision Scheme available at http:\/\/www.cdc.gov\/ncipc\/dir\/FLD_TRIAGE.doc. Accessed January 2008."},{"key":"S1049023X11006315_ref013","first-page":"136","article-title":"Polytrauma in the elderly","volume":"318","author":"Lonner","year":"1995","journal-title":"Clin Orthop"},{"key":"S1049023X11006315_ref034","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200110000-00022"},{"key":"S1049023X11006315_ref031","volume-title":"Ohio Trauma Registry Dictionary 2004","year":"2004"},{"key":"S1049023X11006315_ref008","doi-asserted-by":"publisher","DOI":"10.1097\/01.CNQ.0000306395.86905.8b"},{"key":"S1049023X11006315_ref006","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199202000-00021"},{"key":"S1049023X11006315_ref001","unstructured":"US Census Bureau: Population Projections Program, Population Division, US Census Bureau, Washington, D.C. Available at http:\/\/www.census.gov. Accessed January 2008."},{"key":"S1049023X11006315_ref003","unstructured":"US Centers for Disease Control and Prevention (CDC): Ten Leading Causes of Injury Death by Age Group Highlighting Unintentional Injury Deaths, 2003. National Vital Statistics System, National Center for Health Statistics, Centers for Disease Control."},{"key":"S1049023X11006315_ref037","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1097\/00005373-199901000-00029","article-title":"Compliance with prehospital triage protocols for major trauma patients","volume":"46","author":"Huei-Ming","year":"1999","journal-title":"J Trauma"},{"key":"S1049023X11006315_ref016","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199602000-00018"},{"key":"S1049023X11006315_ref040","first-page":"e25","article-title":"American Heart Association Statistics Committee and Stroke Statistics Subcommittee","volume":"117","author":"Rosamond","year":"2008","journal-title":"Circulation"},{"key":"S1049023X11006315_ref035","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199511000-00017"},{"key":"S1049023X11006315_ref028","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198905000-00001"},{"key":"S1049023X11006315_ref029","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2008.10.027"},{"key":"S1049023X11006315_ref002","unstructured":"Clark DE , Fantus RE : National Trauma Data Bank 2007 Annual Report, version 7.0. Available at http:\/\/www.facs.org\/trauma\/ntdb\/ntdbannualreport2007.pdf. Accessed January 2008."},{"key":"S1049023X11006315_ref019","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.79.9.1278"},{"key":"S1049023X11006315_ref023","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000089354.02065.D0"},{"key":"S1049023X11006315_ref042","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.21.1727"},{"key":"S1049023X11006315_ref012","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199002000-00010"},{"key":"S1049023X11006315_ref005","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1997.01430330076013"},{"key":"S1049023X11006315_ref014","first-page":"18","article-title":"Age difference in health care spending","volume":"36","author":"Mueller","year":"1976","journal-title":"Soc Secur Bull"},{"key":"S1049023X11006315_ref020","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199904000-00024"},{"key":"S1049023X11006315_ref004","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199012000-00006"},{"key":"S1049023X11006315_ref011","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199810000-00034"},{"key":"S1049023X11006315_ref022","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199903000-00019"},{"key":"S1049023X11006315_ref010","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200210000-00008"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X11006315","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,27]],"date-time":"2019-04-27T04:18:46Z","timestamp":1556338726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X11006315\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,6]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,6]]}},"alternative-id":["S1049023X11006315"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x11006315","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,6]]}}}