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Journal of Surgery and Surgical Reports

ISSN: 2837-8482

Original Research Open Access

Trends in the management of Silver Trauma

Niharika Rai, MBBS1,*, Kirstin Carswell, FRCS1
  • 1Department of General Surgery, East Surrey Hospital, Redhill, RH1 5RH, United Kingdom
+ Affiliations - Affiliations

Corresponding Author

Niharika Rai, niharika.rai1@nhs.net

Received Date: November 12, 2025

Accepted Date: November 24, 2025

Citation:

Rai N, Carswell K, Trends in the management of Silver Trauma. J Surg Surg Rep. 2025;2(1):4-10.


Copyright: © 2025 Rai N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Silver Trauma refers to the specialized approach in managing trauma in patients over the age of 65. The use of Silver Trauma frameworks can have positive outcomes across all measurable domains in healthcare. Our paper aimed to assess factors that positively and negatively influence length of stay (LOS), functional outcomes on discharge as evidenced by discharge destination (DD), and readmission rates.

Materials and Methods: A retrospective analysis was conducted over a 3-month period in a District General Hospital. We assessed for factors that positively and negatively influenced LOS, DD, and readmission rates. In particular, the factors we focused on assessing included mechanism of injury, Body Mass Index (BMI), and nutritional status as assessed by the Malnutrition Universal Screening Tool (MUST). 

Results: Patients with multisystem injuries demonstrated the worst outcomes across all domains, with the longest LOS in comparison to head injury patients who had the shortest. When assessing DD, patients with multisystem injuries and thoracic injuries had the greatest reduction in functional outcomes, whilst head trauma patients had the most preserved. Malnourished patients (MUST score of 3 or above) and those with a BMI <18.5 had the least favorable outcomes in terms of LOS and DD. Interestingly, patients with a higher BMI had a reduced LOS and better functional status outcomes. We found no correlation in readmission rates.

Conclusion: Our paper highlights the importance of an individualized approach in managing Silver Trauma patients. It emphasizes the importance of tertiary centers in the management of patients with multisystem injuries. Our results show that malnourished patients and those with a BMI <18.5 have poorer outcomes across most domains. The mechanism of injury also appears to influence outcomes with multisystem and thoracic injuries having poorer prognostic outcomes compared to others. This represents an area for further work.

Keywords

Laparoscopy, Proximal gastrectomy, Single muscle flap, Stomach tumors, Gastroesophageal reflux

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