• A Comparison of Prognosis Calculators for Geriatric Trauma: A P.A.L.L.I.A.T.E Consortium Study (July 2017)

    Category: Acute Care Surgery, Epidemiology, Outcomes/Guidelines, Trauma Systems
    Tarik David Madni, MD, Akpofure Peter Ekeh, MD, Scott C. Brakenridge, MD, Karen J. Brasel, MD, Bellal Joseph, MD, Kenji Inaba, MD, Brandon R. Bruns, MD, Jeffrey D. Kerby, MD, PhD, Joseph Cuschieri, MD, M. Jane Mohler, PhD, Paul A. Nakonezny, PhD, Audra Clark, MD, Jonathan Imran, MD, Steven E. Wolf, MD, M. Elizabeth Paulk, MD, Ramona L. Rhodes, MD, and Herb A. Phelan III, MD
    CME 1 CME Credit(s)

    Learning Objectives:

    To compare the performance of a new validated geriatric-specific prognosis calculator, the PALLiATE Consortium’s “Geriatric Trauma Outcome Score” (GTOS), to that of TRISS.

    Impact Statement:

    When trauma surgeons discuss prognosis with injured elders and their family members, the conversation is often driven by subjective impressions and anecdotal experience. The gold-standard prognosis calculator for injured patients, TRISS, has drawbacks that have limited its routine incorporation into these goal-setting conversations for geriatric trauma patients. The ideal prognosis calculator would be simple for laypeople to understand and for physicians to calculate, would not utilize data that is subject to being “Missing Not At Random (MNAR)”, would be available early in the patient’s hospital course, and would be highly accurate.

    AAST Web Site Notice and Privacy Statement

    Certain information (such as user name and password) will automatically be collected from each user of this Web site.  However, neither that nor any other information submitted by a user of this Web site (including a purchaser through this Web site) will be shared, sold or otherwise provided to any third party. If credit card information is collected (for example, in connection with paying membership dues, making donations or purchasing educational materials), such credit card information will not be stored by the AAST or released to any third party.

    If you would like to have additional information about this Web site, including applicable privacy practices, please contact the AAST at aast@aast.org.

    System Requirements

    The system requirements are as follows: Adobe® Reader 7.0 or above installed; Internet Explorer® 7 and above; Firefox® 3.0 adn above, Chrome® 8.0 and above, Safari™ 4.0 and above. 




    This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the American Association for the Surgery of Trauma. The American College of Surgeons is accredited by the ACCME to provide continuing medical education (CME) for physicians.

    AMA PRA Category 1 Credits™

    The American College of Surgeons designates this journal-based activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1 credit meets the requirements for Self-Assessment.

    1 Credit(s) Access This Course