Frailty Is Associated With Worse Outcomes In Geriatric Pelvic Fractures

Autor:	Lindsey L. Perea, Launick Saint Fort, Madison E. Morgan, Catherine Ting Brown, Steadman Wang, Eric Bradburn
Rok vydání:	2022
Předmět:	Fractures Bone Fatigue Syndrome Chronic Frailty Frail Elderly health care facilities manpower and services Humans General Medicine Length of Stay Geriatric Assessment human activities Aged Retrospective Studies
Zdroj:	The American Surgeon. 88:1573-1575
ISSN:	1555-9823 0003-1348
Popis:	Frail, geriatric patients with pelvic fractures can present differently than non-frail patients. Using the Clinical Frailty Scale(CFS), a retrospective analysis was conducted to determine the relationship between patients’ CFS and outcomes after pelvic fractures. We hypothesized that frail, geriatric trauma patients defined as a CFS>4 with pelvic fractures have worse outcomes than non-frail patients with a CFS≤4 despite similar injuries. All geriatric patients with pelvic fractures and documented CFS were included. Seventy patients were included, with 59% (n = 41) frail. The groups were compared with no difference in mortality. The frail group was older and were most likely discharged to a skilled nursing facility (65.8%). Non-frail were most likely discharged to acute rehab (52%). Frail had lower functional status at discharge (median: 14.5v.16, P = .015). Frail patients had worse overall outcomes in this analysis of geriatric pelvic fracture patients. Special attention should focus on this vulnerable population to ensure optimal treatment and outcomes.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f91bd4ff031ede8ec3af2b4ca8d95e35 https://doi.org/10.1177/00031348221084943 Zobrazit plný text záznamu