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4% versus 12.4%, P0.001), and these patients demonstrated higher severe TBI (40.3% versus 36.7%, P0.001) and craniotomy (5.8% versus 5.1%, P0.001) rates. GCSt was more sensitive and accurate in predicting TCN for geriatric patients and had lower rates of undertriage as compared to GCSm. Geriatric patients more frequently present with non-motor-only deficits after injury, and this is associated with severe head injury. Substitution of GCSm for GCSt would exacerbate undertriage in geriatric patients and, thus, the total GCS s