{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:00:27Z","timestamp":1790787627564,"version":"4.1.0"},"reference-count":28,"publisher":"The Korean Geriatrics Society","issue":"4","license":[{"start":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T00:00:00Z","timestamp":1724803200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-agmr.org"],"crossmark-restriction":true},"short-container-title":["Ann Geriatr Med Res"],"published-print":{"date-parts":[[2024,12,31]]},"abstract":"<jats:p>Background: This study aimed to validate the Geriatric Trauma Outcome Score (GTOS) for predicting mortality associated with trauma in older Korean adults and compare the GTOS with the Trauma and Injury Severity Score (TRISS).Methods: This study included patients aged \u226565 years who visited the Chungbuk National University Hospital Regional Trauma Center between January 2016 and December 2022. We used receiver operating characteristic curves and calibration plots to assess the discrimination and calibration of the scoring systems.Results: Among 3,053 patients, the median age was 77 years, and the mortality rate was 5.2%. The overall GTOS-predicted mortality and 1\u2013TRISS were 5.4% (interquartile range [IQR], 3.7\u20139.5) and 4.7% (IQR, 4.7\u20134.7), respectively. The areas under the curves (AUCs) of 1\u2013TRISS and GTOS for the total population were 0.763 (95% confidence interval [CI], 0.719\u20130.806) and 0.794 (95% CI, 0.755\u20130.833), respectively. In the Glasgow Coma Scale (GCS) \u226412 group, the in-hospital mortality rate was 27.5% (79 deaths). The GTOS-predicted mortality and 1\u2013TRISS in this group were 18.6% (IQR, 7.5\u201334.7) and 26.9% (IQR, 11.9\u201373.1), respectively. The AUCs of 1\u2013TRISS and GTOS for the total population were 0.800 (95% CI, 0.776\u20130.854) and 0.744 (95% CI, 0.685\u20130.804), respectively.Conclusion: The GTOS and TRISS demonstrated comparable accuracy in predicting mortality, while the GTOS offered the advantage of simpler calculations. However, the GTOS tended to underestimate mortality in patients with GCS \u226412; thus, its application requires care in such cases.<\/jats:p>","DOI":"10.4235\/agmr.24.0095","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T07:55:57Z","timestamp":1724831757000},"page":"484-490","update-policy":"https:\/\/doi.org\/10.4235\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases?"],"prefix":"10.4235","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7370-4197","authenticated-orcid":true,"given":"Jonghee","family":"Han","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su 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