Husham Abdelrahman (Doha / QA), Ayman El-Menyar (Doha / QA), Rafael Isidro Gerardo Consunji (Doha / QA), Naushad Khan (Doha / QA), Mohammad Asim (Doha / QA), Fouad Mustafa (Doha / QA), Adam Shunni (Doha / QA), AbuBaker Al-Aieb (Doha / QA), Hassan Al-Thani (Doha / QA), Sandro Rizoli (Doha / QA)
Background: Frailty, a complex, multidimensional syndrome linked to increased falls risks, admission, & mortality. We hypothesized that higher mFI-5 scores would correlate with worse outcomes & increased mortality in our geriatric population.
Methods: A Retrospective analysis was conducted & comparative analyses of age groups (55-64 vs ≥65 years), gender & outcome were performed. The Modified 5-Item Frailty Index was assessed & multivariable logistic regression analysis was performed to predict the prolonged hospitalization. mFI-5 was calculated by assigning one point for each comorbidity present: diabetes, hypertension, congestive heart failure, COPD, & functionally dependent health status. Outcomes included complications, length of stay, & mortality.
Results: Of 15,000 trauma admissions between 2010 & 2021; 11% were geriatrics with a mean age of 65.5±9.5. 35% of injuries occurred due to home falls. Mortality was 8%, with a higher rate among males than females. Higher frailty grades were associated with home- falls & head injuries. Patients" ≥65 years were more likely to have higher frailty scores. Among the older group, 25% were moderately frail, & 18% severely frail. Half of the younger group had no frailty. Higher frailty scores significantly correlated with increased AKI (7.0% vs. 1.4%), pneumonia (7.5% vs. 3.1%), UTIs (6.4% vs. 1.4%), & longer stays (10 vs. 5 days). Severe Frailty significantly increased in intervention rates; tracheostomy (8.1% vs. 2.4%, p=0.001), dialysis (7.0% vs. 0.9 %,), & transfusions (30.1% vs. 17.0%), ventilator use (22.0% vs. 14.4%), & mortality (12.4% vs. 10.6 %). On multivariable regression adjusting for demographics & injury details, Severe frailty significantly predicted longer hospitalization (odds ratio 1.83, p=0.007).
Conclusions: Frailty was associated with longer hospitalizations, complications, & mortality. The admission mFI-5 is a quick, intuitive & useful tool for frailty determination.
No
We use cookies on our website. Cookies are small (text) files that are created and stored on your device (e.g., smartphone, notebook, tablet, PC). Some of these cookies are technically necessary to operate the website, other cookies are used to extend the functionality of the website or for marketing purposes. Apart from the technically necessary cookies, you are free to allow or not allow cookies when visiting our website.