Colette Galet, Colleen Bloeser, Jacklyn Engelbart, Patrick Ten Eyck, James Torner, Dionne Skeete
{"title":"衰弱与中年创伤患者预后不良有关。","authors":"Colette Galet, Colleen Bloeser, Jacklyn Engelbart, Patrick Ten Eyck, James Torner, Dionne Skeete","doi":"10.1016/j.amjsurg.2024.116157","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The impact of frailty on outcomes in midlife trauma patients (50-64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients' outcomes.</p><p><strong>Methods: </strong>This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant.</p><p><strong>Results: </strong>In 2021, 5.1 % midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR = 2.27 [2.01-2.57]), longer hospital and ICU stay (MR = 1.46 [1.43-1.49] and MR = 1.30 [1.24-1.36]), and discharge requiring higher level of care (OR = 2.11 [2.01-2.22]).</p><p><strong>Conclusion: </strong>Our data support the need for preventative efforts regarding frailty in midlife adults.</p>","PeriodicalId":7771,"journal":{"name":"American journal of surgery","volume":"241 ","pages":"116157"},"PeriodicalIF":2.7000,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Frailty is associated with poor outcomes in midlife trauma patients.\",\"authors\":\"Colette Galet, Colleen Bloeser, Jacklyn Engelbart, Patrick Ten Eyck, James Torner, Dionne Skeete\",\"doi\":\"10.1016/j.amjsurg.2024.116157\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The impact of frailty on outcomes in midlife trauma patients (50-64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients' outcomes.</p><p><strong>Methods: </strong>This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant.</p><p><strong>Results: </strong>In 2021, 5.1 % midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR = 2.27 [2.01-2.57]), longer hospital and ICU stay (MR = 1.46 [1.43-1.49] and MR = 1.30 [1.24-1.36]), and discharge requiring higher level of care (OR = 2.11 [2.01-2.22]).</p><p><strong>Conclusion: </strong>Our data support the need for preventative efforts regarding frailty in midlife adults.</p>\",\"PeriodicalId\":7771,\"journal\":{\"name\":\"American journal of surgery\",\"volume\":\"241 \",\"pages\":\"116157\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2024-12-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.amjsurg.2024.116157\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.amjsurg.2024.116157","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Frailty is associated with poor outcomes in midlife trauma patients.
Background: The impact of frailty on outcomes in midlife trauma patients (50-64 y) remains understudied. We evaluated the impact of frailty on midlife trauma patients' outcomes.
Methods: This is a retrospective cohort study using TQIP 2021 data. Demographics, injury and hospital information, comorbidities, complications, mortality, and discharge disposition were extracted. Frailty was scored using the modified frailty index-5. Multivariate analyses were performed. P < 0.001 was considered significant.
Results: In 2021, 5.1 % midlife trauma patients were frail. On multivariate analysis adjusting for demographics, insurance status, injury severity score, vitals on arrival, and mode of transportation, frailty was associated with increased risk of death (OR = 2.27 [2.01-2.57]), longer hospital and ICU stay (MR = 1.46 [1.43-1.49] and MR = 1.30 [1.24-1.36]), and discharge requiring higher level of care (OR = 2.11 [2.01-2.22]).
Conclusion: Our data support the need for preventative efforts regarding frailty in midlife adults.
期刊介绍：
The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.
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