TY  - JOUR
PY  - 2022//
TI  - The predictive value of the "Identification of Seniors at Risk" score on mortality, length of stay, mobility and the destination of discharge of geriatric hip fracture patients
JO  - Clinical interventions in aging
A1  - Knauf, Tom
A1  - Buecking, Benjamin
A1  - Geiger, Lukas
A1  - Hack, Juliana
A1  - Schwenzfeur, Ruth
A1  - Knobe, Matthias
A1  - Eschbach, Daphne
A1  - Ruchholtz, Steffen
A1  - Aigner, Rene
SP  - 309
EP  - 316
VL  - 17
IS  - 
N2  - 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. <br><br>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. <br><br>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). <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 1176-9092
UR  - http://dx.doi.org/10.2147/CIA.S344689
ID  - ref1
ER  -