TY  - JOUR
PY  - 2024//
TI  - The impact of frailty on long-term functional outcomes in severely injured geriatric patients
JO  - Surgery
A1  - Rafaqat, Wardah
A1  - Panossian, Vahe S.
A1  - Abiad, May
A1  - Ghaddar, Karen
A1  - Ilkhani, Saba
A1  - Grobman, Ben
A1  - Herrera-Escobar, Juan P.
A1  - Salim, Ali
A1  - Anderson, Geoffrey A.
A1  - Sanchez, Sabrina
A1  - Kaafarani, Haytham M.
A1  - Hwabejire, John O.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: The incidence of severe injury in the geriatric population is increasing. However, the impact of frailty on long-term outcomes after injury in this population remains understudied. Therefore, we aimed to understand the impact of frailty on long-term functional outcomes of severely injured geriatric patients. <br><br>METHODS: We conducted a retrospective cohort study, including patients ≥65 years old with an Injury Severity Score ≥15, who were admitted between December 2015 and April 2022 at one of 3 level 1 trauma centers in our region. Patients were contacted between 6 and 12 months postinjury and administered a trauma quality of life survey, which assessed for the presence of new functional limitations in their activities of daily living. We defined frailty using the mFI-5 validated frailty tool: patients with a score ≥2 out of 5 were considered frail. The impact of frailty on long-term functional outcomes was assessed using 1:1 propensity matching adjusting for patient characteristics, injury characteristics, and hospital site. <br><br>RESULTS: We included 580 patients, of whom 146 (25.2%) were frail. In a propensity-matched sample of 125 pairs, frail patients reported significantly higher functional limitations than nonfrail patients (69.6% vs 47.2%; P <.001). This difference was most prominent in the following activities: climbing stairs, walking on flat surfaces, going to the bathroom, bathing, and cooking meals. In a subgroup analysis, frail patients with traumatic brain injuries experienced significantly higher long-term functional limitations. <br><br>CONCLUSION: Frail geriatric patients with severe injury are more likely to have new long-term functional outcomes and may benefit from screening and postdischarge monitoring and rehabilitation services.<p />  <p>Language: en</p>
LA  - en
SN  - 0039-6060
UR  - http://dx.doi.org/10.1016/j.surg.2024.06.036
ID  - ref1
ER  -