Timing and methods of frailty assessments in geriatric trauma patients: A systematic review

Injury
Mya CubittElaine Cole

Abstract

The trauma population is aging and better prognostic measures for geriatric trauma patients are required. Frailty rather than age appears to be associated with poor outcomes. This systematic review aimed to identify the optimum frailty assessment instrument and timing of assessment in patients aged over 65 years admitted to hospital after traumatic injury. The secondary aim was to evaluate outcomes associated with frailty in elderly trauma populations. This systematic review was registered with the PROSPERO International Prospective Register of Systematic Reviews (CRD42018090620). A MEDLINE and EMBASE literature search was conducted from inception to June 2019 combining the concepts of injury, geriatric, frailty, assessment and prognosis. Included studies were in patients 65 years or older hospitalised after injury and exposed to an instrument meeting consensus definition for frailty assessment. Study quality was assessed using criteria for review of prognostic studies combined with a GRADE approach. Twenty-eight papers met inclusion criteria. Twenty-eight frailty or component instruments were reported, and assessments of pre-injury frailty were made up to 1-year post injury. Pre-injury frailty prevalence varied from 13% (13/10...Continue Reading

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Citations

Jan 24, 2020·The Journal of Trauma and Acute Care Surgery·Fangjie ZhaoLulu Zhang
Mar 25, 2020·The Journal of Trauma and Acute Care Surgery·Fangjie ZhaoLulu Zhang
Mar 6, 2021·World Journal of Surgery·Tanya AnandBellal Joseph
Apr 1, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Heather JarmanElaine Cole
Sep 1, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Adam J BoultonElaine Cole
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Oct 9, 2021·Journal of the American Geriatrics Society·Philip BraudeDavid Shipway
Oct 12, 2021·British Journal of Community Nursing·Edward BakerGeraldine Lee
Aug 28, 2021·The Journal of Trauma and Acute Care Surgery·Jeff ChoiJoseph D Forrester

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