Frailty is associated with poor outcomes in midlife trauma patients - 10/02/25
, Colleen Bloeser b , Jacklyn Engelbart a , Patrick Ten Eyck c , James Torner d , Dionne Skeete a Abstract |
Background |
The impact of frailty on outcomes in midlife trauma patients (50–64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients’ outcomes.
Methods |
This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant.
Results |
In 2021, 5.1 % midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR = 2.27 [2.01–2.57]), longer hospital and ICU stay (MR = 1.46 [1.43–1.49] and MR = 1.30 [1.24–1.36]), and discharge requiring higher level of care (OR = 2.11 [2.01–2.22]).
Conclusion |
Our data support the need for preventative efforts regarding frailty in midlife adults.
Le texte complet de cet article est disponible en PDF.Highlights |
• | Retrospective cohort study using TQIP 2021 data. |
• | Evaluate the impact of frailty on outcome of midlife trauma patients (50–64 y). |
• | Frailty is associated with increased risk of death, longer hospital and ICU stay. |
• | Frailty is associated with discharge requiring higher level of care. |
• | Preventative efforts regarding frailty in midlife adults are needed. |
Keywords : Frailty, Trauma, Midlife adults, TQIP
Plan
Vol 241
Article 116157- mars 2025 Retour au numéro
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