Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes
Objective: Geriatric admissions to trauma centers have increased, and in 2013, our center integrated geriatrician consultation with the management of admitted patients. Our goal is to describe our experience with increasing geriatric fall volume to help inform organized geriatric trauma programs. Me...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2019-06-01
|
Series: | Gerontology and Geriatric Medicine |
Online Access: | https://doi.org/10.1177/2333721419858735 |
id |
doaj-db8bdf205aa24ab0930ff0e9328c844a |
---|---|
record_format |
Article |
spelling |
doaj-db8bdf205aa24ab0930ff0e9328c844a2020-11-25T03:19:58ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142019-06-01510.1177/2333721419858735Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient OutcomesSumit Saha BS0Stephen M. DiRusso MD, PhD1Scott Welle DO, FACOS, FACS2Benjamin Lieberman DO3Joel Sender MD4Ridwan Shabsigh MD, FACS5Gerard A. Baltazar DO, FACOS6City University of New York, New York City, NY, USASBH Health System, Bronx, NY, USASBH Health System, Bronx, NY, USANew York Institute of Technology, Old Westbury, NY, USASBH Health System, Bronx, NY, USACornell University, New York, NY, USANew York University Winthrop Hospital, Mineola, NY, USAObjective: Geriatric admissions to trauma centers have increased, and in 2013, our center integrated geriatrician consultation with the management of admitted patients. Our goal is to describe our experience with increasing geriatric fall volume to help inform organized geriatric trauma programs. Method: We retrospectively analyzed admitted trauma patients ≥65 years old, suffering falls from January 1, 2006, to December 31, 2017. We examined descriptive statistics and changes in outcomes after integration. Results: A total of 1,335 geriatric trauma patients were admitted, of which 1,054 (79%) had suffered falls. Falls increased disproportionately (+280%) compared with other mechanisms of injury (+97%). After 2013, patient discharge disposition to skilled nursing facility decreased significantly (–67%, p < .001), with a concomitant increase in safe discharges home with outpatient services. Regression analysis revealed association between integration of geriatrician consultation and outcomes. Discussion: Geriatrician consultation is associated with optimized discharge disposition of trauma patients. We recommend geriatrician consultation for all geriatric trauma activations.https://doi.org/10.1177/2333721419858735 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sumit Saha BS Stephen M. DiRusso MD, PhD Scott Welle DO, FACOS, FACS Benjamin Lieberman DO Joel Sender MD Ridwan Shabsigh MD, FACS Gerard A. Baltazar DO, FACOS |
spellingShingle |
Sumit Saha BS Stephen M. DiRusso MD, PhD Scott Welle DO, FACOS, FACS Benjamin Lieberman DO Joel Sender MD Ridwan Shabsigh MD, FACS Gerard A. Baltazar DO, FACOS Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes Gerontology and Geriatric Medicine |
author_facet |
Sumit Saha BS Stephen M. DiRusso MD, PhD Scott Welle DO, FACOS, FACS Benjamin Lieberman DO Joel Sender MD Ridwan Shabsigh MD, FACS Gerard A. Baltazar DO, FACOS |
author_sort |
Sumit Saha BS |
title |
Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes |
title_short |
Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes |
title_full |
Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes |
title_fullStr |
Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes |
title_full_unstemmed |
Integration of Geriatrician Consultation for Trauma Admissions May Benefit Patient Outcomes |
title_sort |
integration of geriatrician consultation for trauma admissions may benefit patient outcomes |
publisher |
SAGE Publishing |
series |
Gerontology and Geriatric Medicine |
issn |
2333-7214 |
publishDate |
2019-06-01 |
description |
Objective: Geriatric admissions to trauma centers have increased, and in 2013, our center integrated geriatrician consultation with the management of admitted patients. Our goal is to describe our experience with increasing geriatric fall volume to help inform organized geriatric trauma programs. Method: We retrospectively analyzed admitted trauma patients ≥65 years old, suffering falls from January 1, 2006, to December 31, 2017. We examined descriptive statistics and changes in outcomes after integration. Results: A total of 1,335 geriatric trauma patients were admitted, of which 1,054 (79%) had suffered falls. Falls increased disproportionately (+280%) compared with other mechanisms of injury (+97%). After 2013, patient discharge disposition to skilled nursing facility decreased significantly (–67%, p < .001), with a concomitant increase in safe discharges home with outpatient services. Regression analysis revealed association between integration of geriatrician consultation and outcomes. Discussion: Geriatrician consultation is associated with optimized discharge disposition of trauma patients. We recommend geriatrician consultation for all geriatric trauma activations. |
url |
https://doi.org/10.1177/2333721419858735 |
work_keys_str_mv |
AT sumitsahabs integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT stephenmdirussomdphd integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT scottwelledofacosfacs integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT benjaminliebermando integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT joelsendermd integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT ridwanshabsighmdfacs integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes AT gerardabaltazardofacos integrationofgeriatricianconsultationfortraumaadmissionsmaybenefitpatientoutcomes |
_version_ |
1724619988769177600 |