Prospective evaluation of frailty and functional independence in older adult trauma patients

Mohammad Hamidi, Muhammad Zeeshan, Terence O'Keeffe, Bryn Nisbet, Ashley Northcutt, Janko Nikolich-Zugich, Muhammad Khan, Narong Kulvatunyou, Mindy Fain, Bellal Joseph

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Background: The aim of our study was to assess the association between frailty and functional status in geriatric trauma patients. 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. 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. 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.

Original languageEnglish (US)
Pages (from-to)1070-1075
Number of pages6
JournalAmerican journal of surgery
Volume216
Issue number6
DOIs
StatePublished - Dec 2018

Keywords

  • Frailty
  • Functional independence
  • Geriatrics
  • Trauma

ASJC Scopus subject areas

  • Surgery

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