Predicting and Communicating Geriatric Trauma Outcomes

被引:1
作者
Maurer, Lydia R. [1 ]
Sakran, Joseph V. [2 ]
Kaafarani, Haytham M. [3 ]
机构
[1] Massachusetts Gen Hosp, Dept Surg, 55 Fruit St,GRB-425, Boston, MA 02114 USA
[2] Johns Hopkins Univ Hosp, Dept Surg, Div Acute Care Surg, Baltimore, MD 21287 USA
[3] Massachusetts Gen Hosp, Div Trauma Emergency Surg & Surg Crit Care, Dept Surg, 165 Cambridge St,Suite 810, Boston, MA 02114 USA
关键词
Trauma; Geriatric trauma; Risk prediction; Artificial intelligence; Palliative care; URINARY-TRACT-INFECTION; 1-YEAR MORTALITY; RIB FRACTURES; BRAIN-INJURY; FRAILTY; OLDER; AGE; ASSOCIATION; SURGERY; ADULT;
D O I
10.1007/s40719-020-00209-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of Review To provide an overview of the most recent research in geriatric trauma outcomes, specifically highlighting advances in risk prediction for the elderly injured patient. Recent Findings Geriatric-specific evidence and best practices continue to evolve for older adult trauma patients. There are a number of risk stratification systems that offer insights into prognosis for elderly patients, and newer models using machine learning methods show promise in this population as well. These non-linear models can provide useful prognostic information to guide communication with patients and families, including the incorporation of palliative care interventions and geriatric-specific pathways that have been shown to be of benefit to this patient population. Summary Key aspects of care for geriatric trauma patients include knowing the best clinical practices for this population, along with up-to-date research on risk prediction in this group. While there has been some success with the use of risk stratification systems to guide implementation of palliative care interventions, further implementation-based research is needed on specific programs in order to make this more widespread.
引用
收藏
页码:1 / 7
页数:7
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