Frailty and length of stay in older adults with blunt injury in a national multicentre prospective cohort study.

Journal Article (Journal Article;Multicenter Study)

BACKGROUND: Patients suffering moderate or severe injury after low falls have higher readmission and long-term mortality rates compared to patients injured by high-velocity mechanisms such as motor vehicle accidents. We hypothesize that this is due to higher pre-injury frailty in low-fall patients, and present baseline patient and frailty demographics of a prospective cohort of moderate and severely injured older patients. Our second hypothesis was that frailty was associated with longer length of stay (LOS) at index admission. METHODS: This is a prospective, nation-wide, multi-center cohort study of Singaporean residents aged ≥55 years admitted for ≥48 hours after blunt injury with an injury severity score or new injury severity score ≥10, or an Organ Injury Scale ≥3, in public hospitals from 2016-2018. Demographics, mechanism of injury and frailty were recorded and analysed by Chi-square, or Kruskal-Wallis as appropriate. RESULTS: 218 participants met criteria and survived the index admission. Low fall patients had the highest proportion of frailty (44, 27.3%), followed by higher level fallers (3, 21.4%) and motor vehicle accidents (1, 2.3%) (p < .01). Injury severity, extreme age, and surgery were independently associated with longer LOS. Frail patients were paradoxically noted to have shorter LOS (p < .05). CONCLUSION: Patients sustaining moderate or severe injury after low falls are more likely to be frail compared to patients injured after higher-velocity mechanisms. However, this did not translate into longer adjusted LOS in hospital at index admission.

Full Text

Duke Authors

Cited Authors

  • Tan, TXZ; Nadkarni, NV; Chua, WC; Loo, LM; Iau, PTC; Ang, ASH; Goo, JTT; Chan, KC; Malhotra, R; Ong, MEH; Matchar, DB; Seow, DCC; Nguyen, HV; Ng, YS; Chan, A; Wong, T-H

Published Date

  • 2021

Published In

Volume / Issue

  • 16 / 4

Start / End Page

  • e0250803 -

PubMed ID

  • 33930058

Pubmed Central ID

  • PMC8087011

Electronic International Standard Serial Number (EISSN)

  • 1932-6203

Digital Object Identifier (DOI)

  • 10.1371/journal.pone.0250803

Language

  • eng

Conference Location

  • United States