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METHODS

We performed a prospective cohort study of all elderly (age≥ 65 years) trauma patients presenting at our level one trauma center. Patient’s frailty status was calculated utilizing the Trauma Specific Frailty Index (TSFI) within 24 hours of admission. Patients were stratified into non-frail, pre-frail, and frail. FTR was defined as death from a major complication (respiratory, infectious, cardiac, and renal). Binary logistic regression analysis was performed after adjusting for age, gender, injury severity (ISS), and vital parameters to assess the relationship between frailty status and FTR.

RESULTS

A total of 368 elderly trauma patients were evaluated of which 25%(n= 93) were non-frail, 38%(n= 139) pre-frail, and 37%(n= 136) frail. Overall, 30% of the patients developed in-hospital complications; of them, mortality occurred in 26% of the patients (FTR group). In the FTR group, 69% of the patients were frail compared to …