Nishijima DK, Gaona SD, Faul M, et al. - Researchers sought to delineate the long-term outcomes of older adults with traumatic brain injury (TBI) and to ascertain how trauma center transport associates with long-term functional outcome. They conducted a prospective, observational study at five emergency medical services agencies and 11 hospitals denoting all 9-1-1 transfers within a county. Assessment of 350 patients with TBI was done; the median (Q1, Q3) age was 70 (61, 84) years, 187 (53%) were male, and 91 patients (26%) had a traumatic intracranial hemorrhage on initial emergency department cranial CT imaging. Outcomes suggest that older adults with TBI frequently exhibit moderate disability or worse 6 months following injury. Death was reported for over one in five of older adults with TBI by 6 months, usually due to nonhead causes. Initial triage to a trauma center seemed not improving functional outcomes of patients with TBI or traumatic intracranial hemorrhage.