Background Increasing numbers of older patients are presenting to emergency departments(ED) following trauma. These patients require multidisciplinary care that the traditional trauma model fails to provide. A Silver Trauma Review Clinic(STRC) was developed in conjunction with the geriatric, ED and multidisciplinary services to improve the post-discharge care of patients with non-operative traumatic injuries. We aimed to assess the STRC by reviewing the journey and outcomes of patients who attended the clinic and examining new diagnoses and interventions. Methods A retrospective review of electronic chart data was performed on all patients who attended the clinic over the initial 1 year period. Results 137 patient were reviewed with a median age of 80(IQR 12.5), 69% female. The median clinical frailty scale was 3 with a median time from the patients initial ED presentation to clinic of 15 days(IQR 11.25) and median time from initial review to discharge 20 days(IQR 34). 71% of presentations were as a result of falls under 2 metres. Primary injuries were 34% vertebral fractures, 45% limb fracture, 18% thoracic trauma, 11% pelvic trauma with 15% of patients suffering from multiple injuries. Patients attending the STRC had a comprehensive geriatric assessment with abnormal Mini-Cog assessments found in 29%, a new diagnosis of osteoporosis in 43% and orthostatic hypotension diagnosed in 13% of patients. 61% were discharged to primary care, 19% linked into a specialist geriatric clinic. Conclusion The STRC is a novel approach allowing timely, patient focused, comprehensive and collaborative trauma care of older patients following non-operative injuries.

The authors have declared no competing interest.

This study did not receive any funding.

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Clinical Audit & Effectiveness Committee of Mater Misericordiae University Hospital, Dublin waived ethical approval for this work, and gave approval for external dissemination, including journal publication and/or conference presentation.

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