Frailty and Short-Term Outcomes in Patients With Hip Fracture

Geriatric Orthopaedic Surgery & Rehabilitation
Elizabeth A KistlerSusan M Friedman

Abstract

To assess the prevalence of frailty and its ability to predict short-term outcomes in older patients with hip fracture. Prospective cohort study. University-affiliated community hospital. Thirty-five patients aged ≥65 treated with hip fracture. Frailty was assessed using the 5 criteria of the Fried Frailty Index, modified for a post-fracture population. Cognitive impairment was assessed with the Montreal Cognitive Assessment (MoCA). The primary outcome was overall hospital complication rate. Secondary outcomes were length of stay (LOS) and specific complications. Differences between the frail and the non-frail were identified using chi-square analysis and analysis of variance (ANOVA) for categorical and continuous variables, respectively. Eighteen (51%) participants were frail. Seventeen (49%) had ≥1 hospital complication. Twelve (67%) frail patients versus 5 (29%) non-frail patients had a complication (P = .028). Mean LOS was longer in patients with frailty (7.3 ± 5.9 vs 4.1 ± 1.2 days, P = .038). Most were frail for the weakness criterion (94%), and few were frail for the physical activity criterion (9%). Excluding these criteria, we developed a 3-criteria frailty index (shrinking, exhaustion, and slowness) that identified an...Continue Reading

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Jan 15, 2018·Journal of the American Geriatrics Society·Kahli ZietlowMitchell T Heflin
Nov 25, 2017·General Thoracic and Cardiovascular Surgery·Kay Maeda, Yoshikatsu Saiki
Sep 22, 2018·Journal of the American Geriatrics Society·Ilaria PersicoGiuseppe Bellelli
Feb 8, 2020·Journal of Orthopaedic Surgery·Weiyan LuRong Hu
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Jan 18, 2020·BMC Geriatrics·Mandy M ArchibaldMellick J Chehade
Jun 15, 2018·BMC Geriatrics·Olga TheouKenneth Rockwood
Nov 22, 2020·Archives of Osteoporosis·Hugo Gutiérrez-HermosilloSerge Ferrari
Jul 4, 2020·Journal of Orthopaedics·Pragati H MamtoraZeev N Kain
Mar 2, 2021·Health Services Insights·Davide GolinelliMaria Pia Fantini
Oct 9, 2021·Journal of Clinical Nursing·Inthira RoopsawangBasia Belza

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