Prospective Evaluation and Comparison of The Predictive Ability of Different Frailty Scores to Predict Outcomes in Geriatric Trauma Patients

The Journal of Trauma and Acute Care Surgery
Mohammad HamidiBellal Joseph

Abstract

Different frailty scores have been proposed to measure frailty. No study has compared their predictive ability to predict outcomes in trauma patients. The aim of our study was to compare the predictive ability of different frailty scores to predict complications, mortality, discharge disposition and 30-day readmission in trauma patients. We performed a 2-year (2016-2017) prospective cohort analysis of all geriatric (age > 65) trauma patients. We calculated the following frailty scores on each patient; the trauma specific frailty index (TSFI), the modified frailty index (mFI) derived from the Canada Study of Health and Aging (CSHA), the Rockwood frailty score (RFS), and the International Association of Nutrition and Aging 5-item a frailty scale (FS). Predictive models, using both unadjusted and adjusted logistic regressions, were created for each outcome. The unadjusted c-statistic was used to compare the predictive ability of each model. A total of 341 patients were enrolled. Mean age was 76±9 years, median ISS was 13[9-18], and median GCS was 15[12-15]. The unadjusted models indicated that both the TSFI and the RFS had comparable predictive value, as indicated by their unadjusted c-statistics, for mortality, in-hospital compli...Continue Reading

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Citations

Oct 9, 2020·Journal of the American Geriatrics Society·Claire M SokasZara Cooper
Jan 11, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Christophe Alain FehlmannDebra Eagles
Apr 1, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Heather JarmanElaine Cole
Sep 12, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Ji Hwan LeeSung Phil Chung

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