ArticleTrauma (London, England)2019
Major trauma in the elderly: Frailty decline and patient experience after injury.
Article in Trauma (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 21 citations in OpenAlex.
- The smart home, a true home? How new technologies disrupt the experience of home for older persons.Universal access in the information society · 2025Article
- Investigating the effects of frailty on six-month outcomes in older trauma patients admitted to UK major trauma centres: a multi-centre follow up study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024Article
- Does a fall from a standing height warrant computed tomography in an elderly patient with polytrauma?World journal of emergency medicine · 2023Article
- Identifying trauma patients with benefit from direct transportation to Level-1 trauma centers.BMC emergency medicine · 2021Observational
- New Horizons in Understanding Appropriate Prehospital Identification and Trauma Triage for Older Adults.Open access emergency medicine : OAEM · 2021Review
- Frailty and length of stay in older adults with blunt injury in a national multicentre prospective cohort study.PloS one · 2021Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe prevalence of major trauma in the elderly is increasing with ageing western societies. Frailty is now a well-recognised predictor of poor outcome after injury; however, few studies have focused on the progression of frailty and patients' perceptions of their injuries after discharge.
aimWe hypothesised that the number of elderly patients that survive major trauma is low and, of those that do, frailty post injury worsens with overall negative views about quality of life. To investigate this, we examined mortality, frailty and patient experience for elderly major trauma admissions to a level 1 trauma centre at one year after admission.
methodAll consecutive patients > 75 with an injury severity score of > 15 were included in the study. Patients were invited to participate in a structured telephone interview to assess change in frailty status as well as assess patient experience after injury.
resultsA total of 79 patients met inclusion criteria; 34 patients had died and 17 were uncontactable; 88% had become more frail (
conclusionsThese findings highlight the elevated mortality in elderly major trauma patients, but also indicate that preconceived opinions on quality of life, post injury, might not be appropriate.
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