@article{ref1,
title="Prospective evaluation of frailty and functional independence in older adult trauma patients",
journal="American journal of surgery",
year="2018",
author="Hamidi, Mohammad and Zeeshan, Muhammad and O'Keeffe, Terence and Nisbet, Bryn and Northcutt, Ashley and Nikolich-Zugich, Janko and Khan, Muhammad and Kulvatunyou, Narong and Fain, Mindy and Joseph, Bellal",
volume="216",
number="6",
pages="1070-1075",
abstract="BACKGROUND: The aim of our study was to assess the association between frailty and functional status in geriatric trauma patients. <br><br>METHODS: 3-year(2013-2015) prospective analysis and included all geriatric trauma patients(≥65y) discharged to a single rehabilitation center from our level-I trauma center. Frailty was measured using Trauma-Specific-Frailty-Index(TSFI) while Functional status was assessed using functional-independence-measure(FIM) at admission and discharge from rehabilitation center. Multivariate linear regression analysis was performed. <br><br>RESULTS: 267 patients were enrolled. Mean age was 76.9 ± 7.1y, 63.6% were males. Overall, 22.8% were frail, and 37.4% were pre-frail. On linear regression, higher motor-FIM, higher cognitive-FIM scores at admission, and longer length-of-stay at rehab were independently associated with increased discharge FIM score. While, ISS(injury-severity-score), pre-frail and frail status were negatively correlated with FIM gain. <br><br>CONCLUSION: Frail patients were less likely to recover to their baseline functional status compared with non-frail patients. Early focused intervention in frail elderly patients is warranted to improve functional status in this population.<br><br>Copyright © 2018. Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0002-9610",
doi="10.1016/j.amjsurg.2018.10.023",
url="http://dx.doi.org/10.1016/j.amjsurg.2018.10.023"
}