Frailty as a prognostic factor for the critically ill older adult trauma patients - 05/09/19
, Muhammad Zeeshan a , Valeria Leon-Risemberg b , Janko Nikolich-Zugich c , Kamil Hanna a , Narong Kulvatunyou a , Abdul Tawab Saljuqi a , Mindy Fain d , Bellal Joseph a, ⁎ Abstract |
Background |
Frailty is highly prevalent in the elderly and confers high risk for adverse outcomes. We aimed to assess the impact of frailty on critically ill older adult trauma patients.
Methods |
We analyzed the ACS-TQIP(2010–2014) including all critically-ill trauma patients ≥65y. The modified frailty index (mFI) was calculated. Following stratified into frail and non-frail, propensity score matching was performed. Our primary outcome measure was in-hospital complications. Secondary outcome measures included mortality and discharge disposition.
Results |
We identified 88,629 patients, of which 34,854 patients (frail: 17,427, non-frail: 17,427) were matched. Overall 14% died. Frail patients had higher rates of complications (34% vs. 18%, p < 0.001), mortality (18.1% vs. 9.7%, p < 0.001), and were more likely to be discharged to rehab/SNF (58.7% vs. 21.2% p < 0.001) compared to non-frail patients.
Conclusion |
critically-ill frail patients are more likely to have higher morbidity and mortality. Frailty can be used as an objective measure to identify high-risk patients.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Frail ICU patients have higher rates of complications. |
• | Infectious complications are the most common followed by respiratory. |
• | Frail geriatric trauma patients have adverse discharge disposition. |
• | Rates of adverse outcomes increase linearly with increasing mFI. |
Keywords : Trauma, ICU, In-hospital, Complications, Mortality
Mappa
| ☆ | Poster presentation at the 2018 Annual Scientific Meeting of the American Geriatric Society (AGS), 2nd – 5th May, 2018, Orlando, Florida. |
Vol 218 - N° 3
P. 484-489 - settembre 2019 Ritorno al numero
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