TY  - JOUR
PY  - 2018//
TI  - Prospective evaluation of frailty and functional independence in older adult trauma patients
JO  - American journal of surgery
A1  - Hamidi, Mohammad
A1  - Zeeshan, Muhammad
A1  - O'Keeffe, Terence
A1  - Nisbet, Bryn
A1  - Northcutt, Ashley
A1  - Nikolich-Zugich, Janko
A1  - Khan, Muhammad
A1  - Kulvatunyou, Narong
A1  - Fain, Mindy
A1  - Joseph, Bellal
SP  - 1070
EP  - 1075
VL  - 216
IS  - 6
N2  - 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>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/10.1016/j.amjsurg.2018.10.023
ID  - ref1
ER  -