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Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
Frailty is associated with poor outcomes in midlife trauma patients
Colette Galet1, Colleen Bloeser2, Jacklyn Engelbart1
1Division of Acute Care Surgery, Department of Surgery, USA.
Background:
The impact of frailty on outcomes in midlife trauma patients (50-64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients' outcomes.
Methods:
This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant.
Results:
In 2021, 5.1 % midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR = 2.27 [2.01-2.57]), longer hospital and ICU stay (MR = 1.46 [1.43-1.49] and MR = 1.30 [1.24-1.36]), and discharge requiring higher level of care (OR = 2.11 [2.01-2.22]).
Conclusion:
Our data support the need for preventative efforts regarding frailty in midlife adults.
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