biostudies-literatureUnknown10(4)Fakhry SM<h4>Background</h4>The applicability of existing trauma activation criteria (TAC) and the need for geriatric-specific TAC for this vulnerable population has been debated. The goal of this study was to determine whether existing TAC are equally effective at identifying the need for high-intensity time-sensitive (HITS) interventions in older versus younger adults and their relationship to outcomes.<h4>Methods</h4>This multicenter, retrospective, cohort study collected data (2017-2019) securely from participating centers as National Trauma Data Bank files with trauma activation (TA) status: full (fTA), partial (pTA), none (nTA). HITS were derived from Trauma Quality Improvement Program process of care measures as critical interventions requiring trauma expertise including emergent airway manaTrauma surgery & acute care opene001770https://www.ebi.ac.uk/biostudies/studies/S-EPMC12625935biostudies-literatureMulticenter study of trauma activation criteria and time-sensitive care in older versus younger adults.PMC12625935Tran AHBiswas SNahmias JBerg GMIskander GSmith KNDunn JAMoreau SKurek SJDuke MChipko JMGarland JMLeichtle SBrownstein MRWilson NYBrake JTinkoff GShen YHollingworth AMallat AFWest MASutter KSharma RBiffl WLLewis RCotner-Pouncy TChan EGibson JEByrd JPanossian VFisher CKaafarani HJacobs JSmith AAKennedy SAryan NSamra NWanersdorfer KMHunt DLRushing AVarga SUhlich RMLieser MJAshley DWJohns TJRivera NHeard AKDandan ISJohnson SEGeriatric Trauma Activation Criteria Research Study GroupJohnson AJacome TFakhry SMDurst GVassy WMRahm JSCofran JMOrlando MMitchell SOrlando AMcKenney MGMcBride KDunne JRSlivinski ASaljuqi ATGennusa JHunt JPCurcio GJHo VPJoseph BMuakkassa FFEvans SLWaswick WfalseMulticenter study of trauma activation criteria and time-sensitive care in older versus younger adults.<h4>Background</h4>The applicability of existing trauma activation criteria (TAC) and the need for geriatric-specific TAC for this vulnerable population has been debated. The goal of this study was to determine whether existing TAC are equally effective at identifying the need for high-intensity time-sensitive (HITS) interventions in older versus younger adults and their relationship to outcomes.<h4>Methods</h4>This multicenter, retrospective, cohort study collected data (2017-2019) securely from participating centers as National Trauma Data Bank files with trauma activation (TA) status: full (fTA), partial (pTA), none (nTA). HITS were derived from Trauma Quality Improvement Program process of care measures as critical interventions requiring trauma expertise including emergent airway mana2025-01-01T00:00:00Z20252026-06-05T16:57:12.243Z2026-06-05T03:06:58.872ZS-EPMC126259354126285610.1136/tsaco-2025-001770