Journal article
Frailty in mid-life predicts outcome following trauma
European journal of trauma and emergency surgery (Munich : 2007), Vol.49(2), pp.1071-1078
04/2023
DOI: 10.1007/s00068-022-02145-0
PMID: 36266479
Abstract
Purpose Midlife adults (50-64 y) are at risk for falls and subsequent injury; yet current guidance on fall screening only pertains to older adults (> 65 y). Herein, we evaluated whether frailty was predictive of readmission for falls in midlife trauma patients. Study design This was a retrospective cohort study of trauma midlife patients admitted for traumatic injuries from 2010 to 2015. Demographics, injury data, fall history, and post-index readmission for falls were collected from medical records. Frailty scores were calculated retrospectively using the Canadian Study of Health and Aging Clinical Frailty Scale (CSHA-CFS). The association between frailty and outcomes was assessed. p < 0.05 was considered significant. Results A total of 326 midlife patients were included, 54% were considered fit, 33.7% pre-frail, and 12.3% frail. Compared to their fit and pre-frail counterparts, frail patients were more likely to be female (67.5% vs. 46.3% vs. 36.3%, p < 0.001), have a history of fall (22.5% vs. 15.5% vs. 6.2%, p < 0.001), and to have suffered a ground level fall on index admission (52.5% vs. 20% vs. 5.7%, p < 0.001). Controlling for age, BMI, gender, race, and fall history, frailty was associated with readmission of midlife adults for falls (OR = 1.82 [1.23-2.69]; p = 0.003) and discharge to skilled nursing facilities (OR = 26.86 [8.03-89.81], p < 0.001). Conclusions Pre-injury frailty may be an effective tool to predict risk of readmission for fall and discharge disposition in midlife trauma patients.
Details
- Title: Subtitle
- Frailty in mid-life predicts outcome following trauma
- Creators
- Isaac C. Slagel - University of IowaVictor Hatcher - Univ Iowa, Dept Surg, Div Vasc Surg, Iowa City, IA 52242 USAKathleen S. Romanowski - Univ Calif Davis, Dept Surg, Div Burn Surg, Sacramento, CA 95817 USADionne A. Skeete - University of IowaColette Galet - Univ Iowa, Dept Surg, Div Acute Care Surg, 200 Hawkins Dr, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- European journal of trauma and emergency surgery (Munich : 2007), Vol.49(2), pp.1071-1078
- DOI
- 10.1007/s00068-022-02145-0
- PMID
- 36266479
- NLM abbreviation
- Eur J Trauma Emerg Surg
- ISSN
- 1863-9933
- eISSN
- 1863-9941
- Publisher
- Springer Nature
- Number of pages
- 8
- Language
- English
- Electronic publication date
- 10/20/2022
- Date published
- 04/2023
- Academic Unit
- Surgery; Injury Prevention Research Center
- Record Identifier
- 9984322792302771
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