1. Frailty Is Associated With Worse Outcomes In Geriatric Pelvic Fractures
- Author
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Lindsey L. Perea, Launick Saint Fort, Madison E. Morgan, Catherine Ting Brown, Steadman Wang, and Eric Bradburn
- Subjects
Fractures, Bone ,Fatigue Syndrome, Chronic ,Frailty ,Frail Elderly ,health care facilities, manpower, and services ,Humans ,General Medicine ,Length of Stay ,Geriatric Assessment ,human activities ,Aged ,Retrospective Studies - Abstract
Frail, geriatric patients with pelvic fractures can present differently than non-frail patients. Using the Clinical Frailty Scale(CFS), a retrospective analysis was conducted to determine the relationship between patients’ CFS and outcomes after pelvic fractures. We hypothesized that frail, geriatric trauma patients defined as a CFS>4 with pelvic fractures have worse outcomes than non-frail patients with a CFS≤4 despite similar injuries. All geriatric patients with pelvic fractures and documented CFS were included. Seventy patients were included, with 59% (n = 41) frail. The groups were compared with no difference in mortality. The frail group was older and were most likely discharged to a skilled nursing facility (65.8%). Non-frail were most likely discharged to acute rehab (52%). Frail had lower functional status at discharge (median: 14.5v.16, P = .015). Frail patients had worse overall outcomes in this analysis of geriatric pelvic fracture patients. Special attention should focus on this vulnerable population to ensure optimal treatment and outcomes.
- Published
- 2022