Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases?
| Title: | Geriatric Trauma Outcome Score for Predicting Mortality among Older Korean Adults with Trauma: Is It Applicable in All Cases? |
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| Authors: | Jonghee Han, Su Young Yoon, Junepill Seok, Jin Young Lee, Jin Suk Lee, Jin Bong Ye, Younghoon Sul, Se Heon Kim, Hong Rye Kim |
| Source: | Annals of Geriatric Medicine and Research, Vol 28, Iss 4, Pp 484-490 (2024) |
| Publisher Information: | Korea Geriatrics Society, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Medicine LCC:Geriatrics |
| Subject Terms: | trauma, trauma severity indices, older adults, Medicine, Geriatrics, RC952-954.6 |
| More Details: | 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 ≥65 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–TRISS were 5.4% (interquartile range [IQR], 3.7–9.5) and 4.7% (IQR, 4.7–4.7), respectively. The areas under the curves (AUCs) of 1–TRISS and GTOS for the total population were 0.763 (95% confidence interval [CI], 0.719–0.806) and 0.794 (95% CI, 0.755–0.833), respectively. In the Glasgow Coma Scale (GCS) ≤12 group, the in-hospital mortality rate was 27.5% (79 deaths). The GTOS-predicted mortality and 1–TRISS in this group were 18.6% (IQR, 7.5–34.7) and 26.9% (IQR, 11.9–73.1), respectively. The AUCs of 1–TRISS and GTOS for the total population were 0.800 (95% CI, 0.776–0.854) and 0.744 (95% CI, 0.685–0.804), 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 ≤12; thus, its application requires care in such cases. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2508-4798 2508-4909 |
| Relation: | http://www.e-agmr.org/upload/pdf/agmr-24-0095.pdf; https://doaj.org/toc/2508-4798; https://doaj.org/toc/2508-4909 |
| DOI: | 10.4235/agmr.24.0095 |
| Access URL: | https://doaj.org/article/db902834019548f2b769a4d6926a9660 |
| Accession Number: | edsdoj.b902834019548f2b769a4d6926a9660 |
| Database: | Directory of Open Access Journals |
| ISSN: | 25084798 25084909 |
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| DOI: | 10.4235/agmr.24.0095 |
| Published in: | Annals of Geriatric Medicine and Research |
| Language: | English |