Background: When evaluating trauma patients, many centers perform computed tomography of the head, cervical spine, chest, abdomen, and pelvis, the so-called "pan-scan." Here, we evaluate the utility of pan-scan in geriatric patients who sustained ground-level falls.

Study Design: We performed a retrospective review of consecutive patients from the trauma registry of a large, urban Level 1 trauma center. Inclusion criteria were registration during the 2019 calendar year, age ≥ 65, mechanism of fall from either sitting or standing, and performance of "pan-scan" at time of assessment. Patient demographics, physical exam findings, CT results, injuries, and patient disposition were recorded. The sensitivity, specificity, positive and negative predictive values of the physical exam for significant injuries were calculated.

Inclusion criteria

• age >65
• presented with fall from sitting or standing from 01/01/2019-12/31/2019

Exclusion criteria included

• age <65 years,
• falls from height,
• GCS less than 14,
• patients who did not undergo the complete pan-scan.

A retrospective chart review was conducted using the trauma registry at a large, urban Level 1 trauma center. This registry was queried for consecutive elderly patients (age >65 years) who presented with fall from sitting or standing from 01/01/2019-12/31/2019. This trauma registry includes all patients of which the trauma surgery team was notified as part of the insinuation's trauma notification protocol. It also includes patients who were ultimately admitted to the hospital with ICD 10 codes consistent with traumatic injuries, regardless of trauma team activation. Patients discharged from the Emergency Department with a traumatic injury may have limited data in the registry.

aggregate data will be published