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Prospective evaluation of health-related quality of life in geriatric trauma patients

Published on Jun 1, 2019in Surgery3.48
· DOI :10.1016/j.surg.2019.04.031
Chelsey Santino1
Estimated H-index: 1
(UA: University of Arizona),
Muhammad Zeeshan5
Estimated H-index: 5
(UA: University of Arizona)
+ 6 AuthorsBellal Joseph25
Estimated H-index: 25
(UA: University of Arizona)
Abstract
Abstract Background Frailty is an established predictor of adverse outcomes in geriatric patients. Health-related quality of life (HRQoL) is an important outcome measure among trauma patients. This prospective observational study examined the impact of frailty on health-related quality of life in geriatric trauma patients. Methods We prospectively enrolled geriatric (age ≥65 years) trauma patients. We calculated the frailty index (FI) within 24 hours of admission using the trauma-specific frailty index. Patients were stratified into frail (frailty index ≥0.27) and nonfrail (frailty index Results We enrolled 296 patients. The mean age was 75.1 ± 9.8 years, 59% were male, and 81% were white. Frail patients accounted for 34%, and they had a lower health-related quality of life at discharge (366 vs 548, P 01) and at 30-day postdischarge (393 vs 744, P 01). Nonfrail patients scored higher in 6 out of 8 domains of health-related quality of life. Nonfrail patients had improved delta health-related quality of life ( P 01), unlike frail patients ( P = . 11). A linear regression model revealed an inverse relationship between frailty and improvement in health-related quality of life over 30-day postdischarge (β = –0.689, [confidence interval, –0.963 to –0.329] P = . 01). This association remained statistically significant after controlling for potential confounding covariates, such as age, sex, race, and injury severity. Conclusion Compared with nonfrail geriatric trauma patients, those who were frail had poor health-related quality of life at discharge and at 30-day postdischarge. Frailty negatively affects the recovery of health-related quality of life after trauma. The use of frailty indices may help identify and develop targeted interventions to improve health-related quality of life among geriatric trauma patients.
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References20
Newest
#1Mohammad Hamidi (UA: University of Arizona)H-Index: 3
#2Muhammad Zeeshan (UA: University of Arizona)H-Index: 5
Last.Bellal Joseph (UA: University of Arizona)H-Index: 25
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#1Bellal Joseph (UA: University of Arizona)H-Index: 25
#2Ahmed Hassan (UA: University of Arizona)H-Index: 8
#1Bellal Joseph (UA: University of Arizona)H-Index: 25
#2Viraj Pandit (UA: University of Arizona)H-Index: 18
Last.Mindy J. Fain (UA: University of Arizona)H-Index: 17
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#1Bellal Joseph (UA: University of Arizona)H-Index: 25
#2Viraj Pandit (UA: University of Arizona)H-Index: 18
Last.Randall S. Friese (UA: University of Arizona)H-Index: 32
view all 11 authors...
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