Ross SW, Adeyemi FM, Zhou M, et al. - Considering the prospective multicenter trial validating the utility of Geriatric Trauma Outcomes Score (GTOS) in predicting in-patient mortality in geriatric trauma patients and their expansion in predicting adverse discharge (GTOS II), researchers examined if these formulations underestimate the downstream sequelae of injury and investigated longer-term mortality in geriatric trauma patients. Querying the Parkland Memorial Hospital Trauma registry, they identified 3,262 eligible patients for inclusion. Inpatient mortality of 10.0% (324) was reported. With each year, inpatient mortality increased; it was 15.8% in 1 year, 17.8% in 2 years, and 22.6% in 5 years. This indicates an association of traumatic injury in geriatric patients with high mortality rates at 1 year to 5 years. Using multivariate logistic regression, the optimal equation was created to predict 1-year mortality: (GTOSIII = age + [0.806 × ISS] + 5.55 [if transfusion in first 24 hours] + 21.69 [if low GCS] + 34.36 [if adverse discharge]); area under the curve of 0.878. Outcomes support robust test characteristics of GTOS III for predicting death at 1 year; they suggested it as potentially useful in guiding patient-centered goals discussions with objective data.