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.
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.
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