Feasibility of screening for preinjury frailty in hospitalized injured older adults

The Journal of Trauma and Acute Care Surgery
Cathy A MaxwellRichard S Miller

Abstract

Frailty assessment of injured older adults (IOAs) is important for clinical management; however, the feasibility of screening for preinjury frailty has not been established in a Level I trauma center. The aims of our study were to assess enrollment rates of IOAs and their surrogates as well as completion rates of selected brief frailty screening instruments. We conducted a prospective cohort study on patients, age 65 years and older with a primary injury diagnosis. Patients and/or surrogates were interviewed within 48 hours of admission using the Vulnerable Elders Survey (VES-13), Barthel Index (BI), and the Life Space Assessment (LSA). Data analysis included frequency distributions, χ statistics, Mann-Whitney and Kruskal-Wallis tests, and general linear modeling (analysis of variance). Of 395 admitted patients, 188 were enrolled with subsequent surrogate screening. Corresponding patient interviews were conducted for 77 patients (41%). Screening time was less than 5 minutes for each instrument, and item completion was 100%. Forty-two enrolled patients (22%) had nurse-reported delirium, and 69 (37%) patients either did not feel like answering questions or were unable to be interviewed secondary to their medical condition. The me...Continue Reading

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Citations

Nov 6, 2015·Current Opinion in Critical Care·Sasha D Adams, John B Holcomb
Nov 3, 2015·Geriatric Nursing·Cathy A Maxwell, Lorraine C Mion
Jul 4, 2015·Journal of the American Geriatrics Society·Cathy A MaxwellLorraine C Mion
May 20, 2015·Critical Care Nursing Clinics of North America·Cathy A Maxwell
Nov 29, 2016·The Journal of Trauma and Acute Care Surgery·Zara CooperRobert Baracco
Aug 5, 2017·The Journal of Trauma and Acute Care Surgery·Erika L RangelAaron D Sodickson
Sep 27, 2018·The Journal of Trauma and Acute Care Surgery·Deborah M SteinUNKNOWN AAST Geriatric Trauma/ACS Committee
May 29, 2019·The Journal of Trauma and Acute Care Surgery·Franchesca HwangAnne C Mosenthal
Jan 3, 2020·The Journal of Trauma and Acute Care Surgery·Rachel S MorrisChristopher J Tignanelli
Jun 4, 2020·Anaesthesia and Intensive Care·Patrick R JoyceChristopher Anstey
Jul 6, 2018·Journal for Nurses in Professional Development·Elizabeth CotterLois Moylan
Jun 15, 2018·BMC Geriatrics·Olga TheouKenneth Rockwood
Jul 10, 2018·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Cathy A MaxwellRichard S Miller
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Apr 23, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Carmen S van DamMike J L Peters

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