Prospective evaluation of frailty and functional independence in older adult trauma patients

Mohammad Hamidi, Muhammad Zeeshan, Terence OKeeffe, Bryn Nisbet, Ashley Northcutt, Janko Nikolich-Zugich, Muhammad Khan, Narong Kulvatunyou, Mindy Fain, Bellal Joseph

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: The aim of our study was to assess the association between frailty and functional status in geriatric trauma patients. Methods: 3-year(2013–2015) prospective analysis and included all geriatric trauma patients(≥65y) discharged to a single rehabilitation center from our level-I trauma center. Frailty was measured using Trauma-Specific-Frailty-Index(TSFI) while Functional status was assessed using functional-independence-measure(FIM) at admission and discharge from rehabilitation center. Multivariate linear regression analysis was performed. Results: 267 patients were enrolled. Mean age was 76.9 ± 7.1y, 63.6% were males. Overall, 22.8% were frail, and 37.4% were pre-frail. On linear regression, higher motor-FIM, higher cognitive-FIM scores at admission, and longer length-of-stay at rehab were independently associated with increased discharge FIM score. While, ISS(injury-severity-score), pre-frail and frail status were negatively correlated with FIM gain. Conclusion: Frail patients were less likely to recover to their baseline functional status compared with non-frail patients. Early focused intervention in frail elderly patients is warranted to improve functional status in this population.

Original languageEnglish (US)
Pages (from-to)1070-1075
Number of pages6
JournalAmerican Journal of Surgery
Volume216
Issue number6
DOIs
StatePublished - Dec 1 2018
Externally publishedYes

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Wounds and Injuries
Rehabilitation Centers
Geriatrics
Linear Models
Frail Elderly
Injury Severity Score
Trauma Centers
Length of Stay
Regression Analysis
Population

Keywords

  • Frailty
  • Functional independence
  • Geriatrics
  • Trauma

ASJC Scopus subject areas

  • Surgery

Cite this

Hamidi, M., Zeeshan, M., OKeeffe, T., Nisbet, B., Northcutt, A., Nikolich-Zugich, J., ... Joseph, B. (2018). Prospective evaluation of frailty and functional independence in older adult trauma patients. American Journal of Surgery, 216(6), 1070-1075. https://doi.org/10.1016/j.amjsurg.2018.10.023

Prospective evaluation of frailty and functional independence in older adult trauma patients. / Hamidi, Mohammad; Zeeshan, Muhammad; OKeeffe, Terence; Nisbet, Bryn; Northcutt, Ashley; Nikolich-Zugich, Janko; Khan, Muhammad; Kulvatunyou, Narong; Fain, Mindy; Joseph, Bellal.

In: American Journal of Surgery, Vol. 216, No. 6, 01.12.2018, p. 1070-1075.

Research output: Contribution to journalArticle

Hamidi, M, Zeeshan, M, OKeeffe, T, Nisbet, B, Northcutt, A, Nikolich-Zugich, J, Khan, M, Kulvatunyou, N, Fain, M & Joseph, B 2018, 'Prospective evaluation of frailty and functional independence in older adult trauma patients', American Journal of Surgery, vol. 216, no. 6, pp. 1070-1075. https://doi.org/10.1016/j.amjsurg.2018.10.023
Hamidi, Mohammad ; Zeeshan, Muhammad ; OKeeffe, Terence ; Nisbet, Bryn ; Northcutt, Ashley ; Nikolich-Zugich, Janko ; Khan, Muhammad ; Kulvatunyou, Narong ; Fain, Mindy ; Joseph, Bellal. / Prospective evaluation of frailty and functional independence in older adult trauma patients. In: American Journal of Surgery. 2018 ; Vol. 216, No. 6. pp. 1070-1075.
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