{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:18:39Z","timestamp":1790381919079,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K01AG065414"],"award-info":[{"award-number":["K01AG065414"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Trauma centers are implementing geriatric\u2010focused processes of care, including geriatric consult services, to improve outcomes for injured older adults. We hypothesized that trauma centers with a geriatric consult service would have more geriatric\u2010focused processes of care and improved hospital\u2010level mortality for injured older adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We surveyed US trauma centers regarding compliance with geriatric\u2010focused processes of care, including presence of geriatric consult service, palliative care consult service, geriatric pharmacists, screening for frailty, screening for potentially inappropriate home medications, and anticoagulation reversal protocols. Using Trauma Quality Improvement Program data, we calculated hospital\u2010level observed\u2010to\u2010expected (O:E) mortality for patients aged \u2265\u200965\u2009years treated at surveyed trauma centers, controlling for patient demographics, comorbidities, and injury severity. High\u2010mortality hospitals were defined as those in the highest quartile of O:E ratio for mortality. Multivariable logistic regression was performed to assess the association of geriatric consult service availability with high\u2010mortality hospitals while controlling for other hospital\u2010level characteristics, including trauma verification level, number of beds, geriatric trauma volume, teaching status, and compliance with other geriatric\u2010focused processes of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Geriatric consult services were available at 49 of the 145 included trauma centers (34%). Hospitals with geriatric consult services were more likely to have Level I verification (61% vs. 12%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), standardized processes for assessing frailty (43% vs. 15%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and geriatric pharmacists (55% vs. 33%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). On unadjusted analysis, hospitals with a geriatric consult service were less likely to have higher\u2010than\u2010expected mortality (17% vs. 44%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009). On multivariable logistic regression, the presence of a geriatric consult service was associated with decreased odds of higher\u2010than\u2010expected mortality (OR 0.20, 95% CI 0.05\u20130.73,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Trauma centers with geriatric consult services have improved hospital\u2010level mortality for injured older adults and have more processes in place to manage these patients. Additional trauma centers should consider implementing a geriatric consult service.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70320","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T08:25:38Z","timestamp":1769415938000},"page":"1570-1577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Association of Geriatric Consult Services With Geriatric Processes of Care and Clinical Outcomes in\n                    <scp>US<\/scp>\n                    Trauma Centers"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2507-6373","authenticated-orcid":false,"given":"Alexander J.","family":"Ordoobadi","sequence":"first","affiliation":[{"name":"Center for Surgery and Public Health, Department of Surgery Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"The Gillian Reny Stepping Strong Center for Trauma Innovation  Boston 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4207-7340","authenticated-orcid":false,"given":"Christine","family":"Cocanour","sequence":"additional","affiliation":[{"name":"Department of Surgery University of California Davis Health  Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3785-3800","authenticated-orcid":false,"given":"Avery B.","family":"Nathens","sequence":"additional","affiliation":[{"name":"Department of Surgery Sunnybrook Health Sciences Centre and the University of Toronto  Toronto Canada"},{"name":"American College of Surgeons  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9988-9572","authenticated-orcid":false,"given":"Ben L.","family":"Zarzaur","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Wisconsin School of Medicine and Public Health  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2205-3061","authenticated-orcid":false,"given":"Bellal","family":"Joseph","sequence":"additional","affiliation":[{"name":"Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery, College of Medicine University of Arizona  Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8448-8693","authenticated-orcid":false,"given":"Joseph","family":"Posluszny","sequence":"additional","affiliation":[{"name":"Department of Surgery Case Western Reserve University School of Medicine\/University Hospitals of Cleveland  Cleveland Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3683-3963","authenticated-orcid":false,"given":"Deborah M.","family":"Stein","sequence":"additional","affiliation":[{"name":"Program in Trauma, R Adams Cowley Shock Trauma Center University of Maryland School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7117-5869","authenticated-orcid":false,"given":"Molly P.","family":"Jarman","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health, Department of Surgery Brigham and Women's Hospital  Boston Massachusetts USA"},{"name":"The Gillian Reny Stepping Strong Center for Trauma Innovation  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"American Association for the Surgery of Trauma Geriatric Committee and the American College of Surgeons Committee on Trauma Best Practice Guidelines Work Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Profile of Older Americans","author":"Administration 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