Superiority of Frailty Over Age in Predicting Outcomes Among Geriatric Trauma Patients

Abstract

The FI is an independent predictor of in-hospital complications and adverse discharge disposition in geriatric trauma patients. This index should be used as a clinical tool for risk stratification in this patient group.

Impact of frailty on outcomes after discharge in older surgical patients: a prospective cohort study

“…5 It is widely accepted that frailty is a multifactorial state that is marked by vulnerability to internal and external stress 6 and that may change over time. 6,7 Frailty is a known risk factor for complications, [8][9][10][11] prolonged hospital stay 8,12 and adverse discharge disposition. 8,11 Furthermore, degree of frailty shows a dose-response relation to mortality in both surgical 13 and critically ill 5 patients.…”

Geriatric epidemiology of trauma in a hospital in Southern Colombia

“…In our study we observed a population of over 65 are a common cause of admission to our hospital, with a median age of 74 years [7][8][9].…”

“…Although is estimated that death by trauma in elders is six times more than in younger population managed by injury degree. It has been proofed advanced age is a risk factor to negative outcomes in patients with trauma [5][6][7].…”

Preadmission Do Not Resuscitate advanced directive is associated with adverse outcomes following acute traumatic injury

“…This concept of frailty is captured at best to a very limited extent by routine history and physical exam and in the registry. To this end, only a minority of the questions of the general Frailty Index or the Trauma Specific Frailty Index are devoted to comorbidities [35,36]. Rather, the focus is on daily activities, health attitude, and function.…”