{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:17:24Z","timestamp":1784819844600,"version":"3.55.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>Introduction: The American College of Surgeons (ACS) recommends that special considerations be made during triage of trauma patients aged \u226555 due to an observed increase in morbidity and mortality in this population. The geriatric population aged \u226565 represents 30% of all trauma patients. Our objective was to assess which pre-existing conditions (PECs) are associated with worse outcomes in trauma patients aged \u226555. Methods: Study population was selected from the local trauma registry (2020-22). Bi-variate analysis compared PEC status with outcomes controlling for each Injury Severity Score (ISS) category. Injury Severity Score was defined as mild (1-8), moderate (9-15), severe (16-24), and critical (\u226525). Results: A total of 5,168 patients were identified (54.9% female, 56.7% age \u226575, 49.1% mild injury). Patients who had chronic renal failure (CRF) were at increased odds of mortality after adjusting for mild (adjusted odds ratio [aOR]: 2.63), moderate (aOR: 2.97), severe (aOR: 2.84), and critical (aOR: 2.62) injuries. Patients who had cirrhosis or congestive heart failure (CHF) were at increased odds of mortality after adjusting for mild (aOR: 3.03, 1.61), moderate (aOR: 3.63, 2.14), and severe (aOR: 3.46, 1.93) injuries, respectively. In addition, there was a relationship between having chronic obstructive pulmonary disease (COPD), dementia, anticoagulant therapy, or diabetes with unplanned intensive care unit (ICU) admission and development of acute kidney injury (AKI). Discussion: There is an association between certain pre-exiting conditions and worse outcomes. Early identification of these factors could provide a foundation for better interdisciplinary management, prevention of complications and associated mortality.<\/jats:p>","DOI":"10.1177\/00031348241257470","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T19:45:52Z","timestamp":1716579952000},"page":"2862-2867","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Morbidity and Mortality of Trauma Patients 55 and Older: A Study of Nontrauma Risk Factors"],"prefix":"10.1177","volume":"90","author":[{"given":"Mariel A.","family":"Javier","sequence":"first","affiliation":[{"name":"HCA Florida Kendall Hospital Trauma and Acute Care Surgery, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilko","family":"Luque","sequence":"additional","affiliation":[{"name":"HCA Florida Kendall Hospital Trauma and Acute Care Surgery, Miami, FL, 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Surgical Critical Care, Miami, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"McKenney","sequence":"additional","affiliation":[{"name":"HCA Florida Kendall Hospital Trauma and Acute Care Surgery, Miami, FL, USA"},{"name":"HCA Florida Kendall Hospital Surgical Critical Care, Miami, FL, 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