{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T01:22:52Z","timestamp":1778030572298,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,5,20]],"date-time":"2024-05-20T00:00:00Z","timestamp":1716163200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults presenting with trauma have worse outcomes than younger adults. Starting in 2016, we provided geriatrics consultation (GC) to older adults admitted to the trauma service. We aimed to analyze the impact of GC on patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective pre\u2013post study and year\u2010matched cohort study. We identified patients from the trauma registry at our level 1 trauma center. In the pre\u2013post study, we compared patients who received GC (2016\u20132022) with controls (2011\u20132015). In the cohort study (2016\u20132022), we compared patients who received GC with controls. We matched for age, race, sex, and injury severity score (ISS) in both studies, as well as admission year in the cohort study. Outcome variables included mortality (in\u2010hospital, 30\u2010day, 90\u2010day), length of stay (LOS), discharge disposition, and hospital readmission rates (30\u2010day, 90\u2010day).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We analyzed 1968 patients in the pre\u2013post study and 2544 patients in the cohort study. Patients were similar in age, race, and sex. GC patients had a slightly higher ISS score and a higher rate of ICU stay. Delirium occurrence was lower among GC patients. GC patients had lower in\u2010hospital mortality compared to controls (pre\u2013post OR 0.27,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; cohort OR 0.31,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and increased LOS (6\u2009days vs 4\u2009days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; both studies). GC patients in the cohort study also had lower 30\u2010 and 90\u2010day mortality (OR 0.52 and 0.65,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) and were less likely to return home (OR 0.81,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01); similar trends, though not statistically significant, were noted in the pre\u2013post study. Lower readmission rates (statistically non\u2010significant) were noted in the GC group across both studies.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>GC in older adults with trauma has proven benefit with reduced mortality and a trend toward lower readmission rates but was associated with increased LOS and higher rates of discharge to skilled facility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18977","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T01:48:15Z","timestamp":1716256095000},"page":"2372-2380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of inpatient geriatrics consultation on hospital outcomes in older adults with trauma"],"prefix":"10.1111","volume":"72","author":[{"given":"Sara","family":"Tyree","sequence":"first","affiliation":[{"name":"Division of Hospital Internal Medicine Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of Medicine Research Hub Mayo Clinic  Rochester Minnesota USA"},{"name":"Department of Quantitative Health Sciences Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Stephens","sequence":"additional","affiliation":[{"name":"Department of Trauma, Critical Care, and General Surgery Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Caroline","family":"Burton","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0838-1026","authenticated-orcid":false,"given":"Sandeep","family":"Pagali","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine Mayo Clinic  Rochester Minnesota USA"},{"name":"Division of Geriatrics and Gerontology Mayo Clinic  Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017\u2010020\u201000340\u20101"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182ab0763"},{"key":"e_1_2_12_4_1","unstructured":"The American College of Surgeons.ACS TQIP Geriatric Trauma Management Guidelines[On\u2010line]. 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Accessed January 16 2024.https:\/\/ihi.org\/initiatives\/age-friendly-health-systems"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1605501"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2017.03.012"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010197611000\u201000006"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895\u20104356(94)90129\u20105"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010018\u20102916\u20101"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001326"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hjdsi.2017.05.005"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2015.0113"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00198\u2010019\u201004858\u20102"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.18977","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.18977","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.18977","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T04:21:06Z","timestamp":1773030066000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.18977"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,20]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/jgs.18977"],"URL":"https:\/\/doi.org\/10.1111\/jgs.18977","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,20]]},"assertion":[{"value":"2024-02-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}