{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:45:59Z","timestamp":1760060759736,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T00:00:00Z","timestamp":1758499200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objectives: This prospective observational study aimed to assess the prognostic value of electrocardiographic (ECG) findings obtained at emergency department (ED) admission in adult patients presenting with trauma-related fractures, with a focus on their association with 30-day all-cause mortality. Materials and Methods: A total of 391 patients aged \u226518 years with trauma-induced fractures were enrolled at a tertiary emergency center between February and May 2025. Baseline demographic and clinical data, including comorbidities, trauma mechanisms, and 12-lead ECG findings at admission, were recorded. Patients were monitored for 30-day mortality. Logistic regression analysis was used to identify independent predictors of mortality. Results: The mean age of the patients was 73.9 \u00b1 6.7 years, and 50.1% were female. Normal sinus rhythm was the most common ECG finding (31.5%), followed by sinus tachycardia (20.5%) and bundle branch block (15.3%), while atrial fibrillation (AF) was present in 9.5% of cases. Thirty-day mortality occurred in 5.1% of the cohort (n = 20). Non-survivors had significantly higher frequencies of AF (35.0% vs. 8.1%, p = 0.001), head trauma (70.0% vs. 18.1%, p &lt; 0.001), cerebrovascular disease (55.0% vs. 16.4%, p &lt; 0.001), and polypharmacy (100% vs. 62.8%, p = 0.001) compared with survivors. Conversely, low-energy falls were more common among survivors (74.7% vs. 20.0%, p &lt; 0.001), whereas falls from stairs or a bed and high-energy trauma were significantly more frequent among non-survivors (all p &lt; 0.05). In multivariate logistic regression, AF (OR: 6.112; 95% CI: 1.612\u201323.176; p = 0.008), head trauma (OR: 16.514; 95% CI: 4.925\u201355.367; p &lt; 0.001), and cerebrovascular disease (OR: 6.725; 95% CI: 2.219\u201320.385; p = 0.001) emerged as independent predictors of 30-day mortality. Although normal sinus rhythm was associated with survival in univariate analysis (p = 0.034), it did not retain independent significance in multivariate modeling. Patients with AF had significantly lower 30-day survival compared with those without AF (65.0% vs. 96.3%, p = 0.001). Conclusions: This prospective study demonstrates that electrocardiographic abnormalities\u2014especially atrial fibrillation\u2014are strong predictors of 30-day mortality in older adult trauma patients. Their prognostic value was further reinforced when assessed alongside head trauma and cerebrovascular disease. These findings emphasize ECG as a rapid, practical, and noninvasive tool for early risk stratification and clinical decision-making in the emergency care of geriatric fracture patients.<\/jats:p>","DOI":"10.3390\/jcm14186659","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T12:08:03Z","timestamp":1758542883000},"page":"6659","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Electrocardiographic Predictors for Early Risk Stratification: 30-Day Mortality in Older Adult Trauma Patients"],"prefix":"10.3390","volume":"14","author":[{"given":"Sedat","family":"Ozdemir","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, School of Medicine, Gaziantep Islam Science and Technology University, 27010 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet Murat","family":"Oktay","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Gaziantep Islam Science and Technology University, 27010 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iffet","family":"Tiftikci","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Gaziantep City Hospital, 27470 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5707-7645","authenticated-orcid":false,"given":"Kazim Ersin","family":"Altinsoy","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, School of Medicine, Gaziantep Islam Science and Technology University, 27010 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"glad221","DOI":"10.1093\/gerona\/glad221","article-title":"Cardiovascular disorders and falls among older adults: A systematic review and meta-analysis","volume":"79","author":"Bourke","year":"2024","journal-title":"J. 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