Background: The goal of 'this study is to identify the factors that predict mortality in elderly trauma patients Method: We reviewed retrospectively the medical record of 144 cases of geriatric trauma admitted to Kyungpook National University Hospital fiom January 1998 to December 1998. We evaluated the general characteristics, mecha- nisms of injury, Revised Trauma Score(RTS), Injury Severity Score(ISS), Probability of survival(Ps) by TRISS(T~raum~a and Injury Severity Score) method, amount of blood transfused, preexisting disease, complications, length of st~ay, and mortality Results : 1 The mean age was 75.39±7,89 years old, and male to female ratio was 0.89: 1 2 The mechanisms of injury were primarily falls(56.3%) followed by bicyde or motorcyde(13.9%), and pedestrian injuries(13.2%) and motor vehide accidents(6.9%), 3 The mean Glasgow Coma Scale(GCS), RTS and ISS are 13.3±3.5,7.2±1.4 and 14.2±11.6 respectively 4 The actual mortality rate was 18,1% (26/144명) But by TRISS method, predicted mortality rate was 9.3%(12.5/144명), excess mortality rate was 108% and Z score was 3.99 indicating that actual number of death exceed predicted number of death 5 Between the survivors and nonsurvivors, the results were significantly different as follows : systolic blood pres- sure(141 .9±28.3 vs 116.8±48.7 mmHg~), GCS(14 .3±2 .0 vs 9 .0~k5,1), RTS(7.8±0 .7 vs 5. 4±2 .3), ISS(11. 3+5 .6 vs 27 .2 ± 20. 2), Ps by TRISS(0 .97±0 .06 vs 0 .65±0 .37), preexisting diseases(50.8 vs 69.8%) Conclusion: Geriatric patients are more likely to die after trauma than other age groups The cause of higher actual mortality rate compared to predicted mortality rate was considered as the higher incidence of delayed death due to sepsis or multiple organ failure In order to reduce the mortality, even with relatively stable initial vital sign, invasive hemodynamic monitoring and intensive beatment are recommended and also, prevention and treatment of nosoco- mial infedion are very important