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Geriatric Trauma Outcome Score (GTOS) in elderly patients with traumatic brain injury

Published:September 15, 2022DOI:https://doi.org/10.1016/j.injury.2022.09.008
      We thank Barea-Mendoza JA et al. for their comments on our assessment of the GTOS and GTOS II prognostic models [
      • Ravindranath S
      • Ho KM
      • Rao S
      • Nasim S
      • Burrell M.
      Validation of the geriatric trauma outcome scores in predicting outcomes of elderly trauma patients.
      ]. We wholeheartedly agree with them that we need to be prudent in using prognostic models including GTOS and GTOS II for research, clinical audit and medical-decision making purposes [
      • Ho KM.
      Use and limitations of prognostic models for the critically ill.
      ,
      • Ho KM.
      Predicting outcomes after severe traumatic brain injury: science, humanity or both?.
      ].
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      References

        • Ravindranath S
        • Ho KM
        • Rao S
        • Nasim S
        • Burrell M.
        Validation of the geriatric trauma outcome scores in predicting outcomes of elderly trauma patients.
        Injury. 2021; 52: 154-159
        • Ho KM.
        Use and limitations of prognostic models for the critically ill.
        J Crit Care. 2016; 36: 298
        • Ho KM.
        Predicting outcomes after severe traumatic brain injury: science, humanity or both?.
        J Neurosurg Sci. 2018; 62: 593-598
        • Honeybul S
        • Ho KM.
        Predicting long-term neurological outcomes after severe traumatic brain injury requiring decompressive craniectomy: A comparison of the CRASH and IMPACT prognostic models.
        Injury. 2016; 47: 1886-1892
        • Ho KM
        • Burrell M
        • Rao S.
        Extracranial injuries are important in determining mortality of neurotrauma.
        Crit Care Med. 2010; 38: 1562-1568

      Linked Article

      • Performance of the Geriatric Trauma Outcome Score in traumatic brain injury: a call of caution
        InjuryVol. 53Issue 7
        • Preview
          We read with interest the article of Ravindranath et al [1] evaluating different scores for outcome prediction in geriatric trauma patients. The recently developed Geriatric Trauma Outcome Score (GTOS) constitutes a relevant tool [2]. However, its predictive ability is variable, likely depending on the severity of injury [1,3-5]. Additionally, it does not take specifically into consideration the severity of traumatic brain injury (TBI), which constitutes the major determinant of outcome in our environment, where intracranial hypertension (ICH) is the leading cause of death [6].
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      • Validation of the geriatric trauma outcome scores in predicting outcomes of elderly trauma patients
        InjuryVol. 52Issue 2
        • Preview
          Elderly patients are at increased risk of death and poor functional recovery after trauma [1]. Accurate risk adjustment is pivotal to assess the performance of different trauma centres. Currently, Australian National Trauma Registry using several variables, including age-group (age ≤15, between 16 and 64, and age≥65 years-old), cause of injury, arrival motor component of the Glasgow Coma Score (GCS), shock-index (grouped in quartiles) and ISS score, to adjust for mortality outcome for quality assurance purposes.
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