Frailty Index Predicts Adverse Outcomes in Geriatric Trauma
(HealthDay News) — Frailty index is an independent predictor of in-hospital complications and adverse discharge disposition among geriatric trauma patients, according to a study published online June 11 in JAMA Surgery.
Bellal Joseph, MD, from the University of Arizona Medical Center in Tucson, and colleagues assessed the usefulness of the frailty index (calculated using 50 preadmission frailty variables) as an effective assessment tool in predicting adverse outcomes in 250 geriatric trauma patients (mean age, 77.9 years). The study was carried out from June 2011 to February 2013).
The researchers found that the median Injury Severity Score was 15, the median Glasgow Coma Scale score was 15, and the mean frailty index was 0.21. Frailty was seen in 44% of patients. In-hospital complications (odds ratio, 2.5; P=0.001) and adverse discharge disposition (odds ratio, 1.6; P=0.001) were more likely in patients with frailty. All patients who died had frailty (mortality rate, 2.0%).
"The frailty index is an independent predictor of in-hospital complications and adverse discharge disposition in geriatric trauma patients," the authors write.