“…A retrospective single-center study by Levin et al found no relationship between age and survival after RT. 26 In contrast, a 5-year analysis of Trauma Quality Improvement Program (TQIP) patients that underwent RT found that no patients aged >60 years with blunt mechanism survived, and no patients aged >70 years survived at all after RT. 27 Hence, using age as a specific cut-off has had variable success and reproducibility in the assessment of outcomes after geriatric resuscitative thoracotomies.…”
The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benefit a frail and/or severely critically ill patient can be exceedingly difficult. In this review, our objective is to define the problem of potentially ineffective care within the specialty of acute care surgery and describe strategies for improving the care of our patients in these difficult situations.
“…A retrospective single-center study by Levin et al found no relationship between age and survival after RT. 26 In contrast, a 5-year analysis of Trauma Quality Improvement Program (TQIP) patients that underwent RT found that no patients aged >60 years with blunt mechanism survived, and no patients aged >70 years survived at all after RT. 27 Hence, using age as a specific cut-off has had variable success and reproducibility in the assessment of outcomes after geriatric resuscitative thoracotomies.…”
The consequences of the delivery of futile or potentially ineffective medical care and interventions are devastating on the healthcare system, our patients and their families, and healthcare providers. In emergency situations in particular, determining if escalating invasive interventions will benefit a frail and/or severely critically ill patient can be exceedingly difficult. In this review, our objective is to define the problem of potentially ineffective care within the specialty of acute care surgery and describe strategies for improving the care of our patients in these difficult situations.
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