Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study
<h3>Background</h3><p dir="ltr">Using a validated tool, we explored the prevalence, risk factors, and predictors of longer hospitalization among hospitalized geriatric patients.</p><h3>Methods</h3><p dir="ltr">Retrospective and comparativ...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2025
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| الموضوعات: | |
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| _version_ | 1864513538626682880 |
|---|---|
| author | Husham Abdelrahman (768893) |
| author2 | Ayman El-Menyar (440103) Rafael Consunji (768892) Naushad Ahmad Khan (6406973) Mohammad Asim (178880) Fouad Mustafa (22303453) Adam Shunni (14150070) AbuBaker Al-Aieb (22303456) Hassan Al-Thani (440106) Sandro Rizoli (67238) |
| author2_role | author author author author author author author author author |
| author_facet | Husham Abdelrahman (768893) Ayman El-Menyar (440103) Rafael Consunji (768892) Naushad Ahmad Khan (6406973) Mohammad Asim (178880) Fouad Mustafa (22303453) Adam Shunni (14150070) AbuBaker Al-Aieb (22303456) Hassan Al-Thani (440106) Sandro Rizoli (67238) |
| author_role | author |
| dc.creator.none.fl_str_mv | Husham Abdelrahman (768893) Ayman El-Menyar (440103) Rafael Consunji (768892) Naushad Ahmad Khan (6406973) Mohammad Asim (178880) Fouad Mustafa (22303453) Adam Shunni (14150070) AbuBaker Al-Aieb (22303456) Hassan Al-Thani (440106) Sandro Rizoli (67238) |
| dc.date.none.fl_str_mv | 2025-01-24T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00068-024-02742-1 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Predictors_of_prolonged_hospitalization_among_geriatric_trauma_patients_using_the_modified_5-Item_Frailty_index_in_a_Middle_Eastern_trauma_center_an_11-year_retrospective_study/30197800 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Geriatric Elderly Trauma Middle East Hospitalization Frailty index |
| dc.title.none.fl_str_mv | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Using a validated tool, we explored the prevalence, risk factors, and predictors of longer hospitalization among hospitalized geriatric patients.</p><h3>Methods</h3><p dir="ltr">Retrospective and comparative analyses of age groups (55–64 vs. ≥ 65 years), gender, survival status, and frailty index categories were performed. The Modified 5-Item Frailty Index was assessed, and multivariable logistic regression analysis was performed to predict prolonged hospitalization (> 7 days).</p><h3>Results</h3><p dir="ltr">There were 17,600 trauma hospitalizations with a mean age of 32 ± 15 years between 2010 and 2021; of them, 9.2% were geriatrics at ≥ 55–64 years (n = 935) and ≥ 65 years (<i>n</i> = 691). The female/male ratio was 17.5%/82.5%, and the mean injury severity score was 13 ± 9. The injury rate for age ≥ 65 was 24 per 10,000 compared to 10 per 10,000 in the younger group age (≥ 55–64). 35% of injuries occurred at home due to falls. Overall mortality was 8%, with a higher rate among males than females (9% vs. 4%). The deceased were three years older at the time of death compared to the survivors. Higher frailty grades were associated with home-related falls and head injuries. Patients 65 years or older were likely to have higher frailty scores, as indicated by higher percentages in the mFI-5. Among the older group, 25% were moderately frail, and 18% severely frail. In the younger group, 50% were frail. Higher frailty scores correlated with increased acute kidney injury, pneumonia, urinary tract infections, and longer hospital stays. Severe frailty significantly predicted longer hospitalization (odds ratio 1.83, <i>p</i> = 0.007).</p><h3>Conclusion</h3><p dir="ltr">One out of eleven trauma admissions was aged > 55. Head injury and bleeding were the leading causes of mortality in the study cohort. There was a significant decrease in the trend of geriatric trauma over the years. The modified FI-5 performs well as a predictive tool of prolonged hospitalization in trauma patients with different age groups.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Trauma and Emergency Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00068-024-02742-1" target="_blank">https://dx.doi.org/10.1007/s00068-024-02742-1</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_c2b376fb3c66249b1ab1daaf96b2a0ed |
| identifier_str_mv | 10.1007/s00068-024-02742-1 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/30197800 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective studyHusham Abdelrahman (768893)Ayman El-Menyar (440103)Rafael Consunji (768892)Naushad Ahmad Khan (6406973)Mohammad Asim (178880)Fouad Mustafa (22303453)Adam Shunni (14150070)AbuBaker Al-Aieb (22303456)Hassan Al-Thani (440106)Sandro Rizoli (67238)Biomedical and clinical sciencesClinical sciencesHealth sciencesEpidemiologyGeriatricElderlyTraumaMiddle EastHospitalizationFrailty index<h3>Background</h3><p dir="ltr">Using a validated tool, we explored the prevalence, risk factors, and predictors of longer hospitalization among hospitalized geriatric patients.</p><h3>Methods</h3><p dir="ltr">Retrospective and comparative analyses of age groups (55–64 vs. ≥ 65 years), gender, survival status, and frailty index categories were performed. The Modified 5-Item Frailty Index was assessed, and multivariable logistic regression analysis was performed to predict prolonged hospitalization (> 7 days).</p><h3>Results</h3><p dir="ltr">There were 17,600 trauma hospitalizations with a mean age of 32 ± 15 years between 2010 and 2021; of them, 9.2% were geriatrics at ≥ 55–64 years (n = 935) and ≥ 65 years (<i>n</i> = 691). The female/male ratio was 17.5%/82.5%, and the mean injury severity score was 13 ± 9. The injury rate for age ≥ 65 was 24 per 10,000 compared to 10 per 10,000 in the younger group age (≥ 55–64). 35% of injuries occurred at home due to falls. Overall mortality was 8%, with a higher rate among males than females (9% vs. 4%). The deceased were three years older at the time of death compared to the survivors. Higher frailty grades were associated with home-related falls and head injuries. Patients 65 years or older were likely to have higher frailty scores, as indicated by higher percentages in the mFI-5. Among the older group, 25% were moderately frail, and 18% severely frail. In the younger group, 50% were frail. Higher frailty scores correlated with increased acute kidney injury, pneumonia, urinary tract infections, and longer hospital stays. Severe frailty significantly predicted longer hospitalization (odds ratio 1.83, <i>p</i> = 0.007).</p><h3>Conclusion</h3><p dir="ltr">One out of eleven trauma admissions was aged > 55. Head injury and bleeding were the leading causes of mortality in the study cohort. There was a significant decrease in the trend of geriatric trauma over the years. The modified FI-5 performs well as a predictive tool of prolonged hospitalization in trauma patients with different age groups.</p><h2>Other Information</h2><p dir="ltr">Published in: European Journal of Trauma and Emergency Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00068-024-02742-1" target="_blank">https://dx.doi.org/10.1007/s00068-024-02742-1</a></p>2025-01-24T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00068-024-02742-1https://figshare.com/articles/journal_contribution/Predictors_of_prolonged_hospitalization_among_geriatric_trauma_patients_using_the_modified_5-Item_Frailty_index_in_a_Middle_Eastern_trauma_center_an_11-year_retrospective_study/30197800CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/301978002025-01-24T09:00:00Z |
| spellingShingle | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study Husham Abdelrahman (768893) Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Geriatric Elderly Trauma Middle East Hospitalization Frailty index |
| status_str | publishedVersion |
| title | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| title_full | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| title_fullStr | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| title_full_unstemmed | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| title_short | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| title_sort | Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-Item Frailty index in a Middle Eastern trauma center: an 11-year retrospective study |
| topic | Biomedical and clinical sciences Clinical sciences Health sciences Epidemiology Geriatric Elderly Trauma Middle East Hospitalization Frailty index |