Citation

Knauf T, Buecking B, Geiger L, Hack J, Schwenzfeur R, Knobe M, Eschbach D, Ruchholtz S, Aigner R. Clin. Interv. Aging 2022; 17: 309-316.

Copyright

(Copyright © 2022, Dove Press)

DOI

10.2147/CIA.S344689

PMID

35386750

PMCID

PMC8979564

Abstract

PURPOSE: The German Society for Geriatrics recommends the "ISAR" questionnaire as a screening tool for patients ≥70 for geriatric screening in emergency rooms. Although the ISAR-score is collected routinely in the "AltersTraumaRegister DGU(®)" (ATR-DGU), to date less is known about the predictive value of the "ISAR"-score in geriatric trauma patients.

PATIENTS AND METHODS: Currently, 84 clinics participate in the ATR-DGU. This evaluation is limited to the subgroup of proximal femur fractures from 2016-2018. Patients ≥70 years, who underwent surgery for a hip fracture are included in the ATR-DGU. In this evaluation, the influence of the "ISAR"-score on mortality, length of stay, mobility and the destination of discharge was examined.

RESULTS: Overall 10,098 patients were included in the present study. The median age was 85 years (interquartile range (IQ) 80-89 years). According to the ISAR-score 80.6% (n=8142) of the patients were classified as geriatric patients (cut off "ISAR"-score ≥2 points). These group of patients had a length of stay of 16 days (IQ10.1-22.1) compared to the non-geriatric patient cohort showing a length of stay of 15 days (IQ10.1-20.1). Patients showing an ISAR-score ≥2 had an increased risk of being discharged to a nursing home (OR 8.25), not being able to walk (OR 12.52) and higher risk of mortality (OR 3.45).

CONCLUSION: The "ISAR"-score shows predictive power for the length of stay, mobility, hospital mortality and discharge after hospital in the collective of geriatric trauma patients. It therefore seems suitable as a screening tool for geriatric trauma patients in the emergency department and should be considered in this context.

Language: en

Keywords

Aged; Humans; Risk Factors; Aged, 80 and over; Length of Stay; *Hip Fractures/surgery; *Patient Discharge; Geriatric Assessment; geriatric patient; hip fracture; identification of seniors at risk; ISAR-score