{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T18:04:17Z","timestamp":1790100257362,"version":"4.0.1"},"reference-count":6,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"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"],"abstract":"<jats:p>\n                    Standard trauma metrics may underestimate risk in geriatric patients sustaining mower- and tractor-related injuries. A retrospective review was performed of adult trauma patients presenting with mower- or tractor-related injuries at three rural trauma centers from 2020-2024. Statistical analysis included chi-square and Mann-Whitney U tests. Of 176 patients, 94 (53.4%) were geriatric. Despite similar injury severity scores (ISS) and significantly lower rates of elevated shock index (SI &gt;1: 0.7% vs. 6.7%, p=0.013), geriatric patients experienced nearly nine times the odds of mortality (6.9% vs. 0.8%, OR=8.889,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.013), longer hospital stays (median 4 vs. 2 days,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.002), and were significantly less likely to be discharged home (59.6% vs. 82.9%,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.001). These findings suggest that ISS and elevated SI alone are insufficient to risk-stratify older patients after agricultural injury and that age-aware triage protocols and early multidisciplinary planning are warranted.\n                  <\/jats:p>","DOI":"10.1177\/00031348261489565","type":"journal-article","created":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:06:27Z","timestamp":1789797987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Conventional Trauma Metrics Underestimate Risk After Mower- and Tractor-Related Injuries in Older Adults"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2015-1100","authenticated-orcid":false,"given":"Aliya G.","family":"Burns","sequence":"first","affiliation":[{"name":"Department of Surgery, East Tennessee State University Quillen College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alva Jefferson","family":"Bethurum","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah W.","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Trauma Services, Ballad Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah A.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Trauma Services, Ballad Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"J. Bracken","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Surgery, East Tennessee State University Quillen College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820960055"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/1059924X.2022.2158151"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/1059924X.2024.2305333"},{"issue":"6","key":"e_1_3_3_5_2","first-page":"437","article-title":"Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario","volume":"50","author":"Gowing R","year":"2007","unstructured":"Gowing R, Jain MK. Injury patterns and outcomes associated with elderly trauma victims in Kingston, Ontario. Can J Surg. 2007;50(6):437-444.","journal-title":"Can J Surg"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00072.2022"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00198-019-04922-x"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261489565","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261489565","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261489565","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T17:21:14Z","timestamp":1790097674000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261489565"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,18]]},"references-count":6,"alternative-id":["10.1177\/00031348261489565"],"URL":"https:\/\/doi.org\/10.1177\/00031348261489565","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,18]]},"article-number":"00031348261489565"}}