Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Health, Lancaster, PA, USA.
Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Am Surg. 2022 Jul;88(7):1573-1575. doi: 10.1177/00031348221084943. Epub 2022 Mar 25.
Frail, geriatric patients with pelvic fractures can present differently than non-frail patients. Using the Clinical Frailty Scale(CFS), a retrospective analysis was conducted to determine the relationship between patients' CFS and outcomes after pelvic fractures. We hypothesized that frail, geriatric trauma patients defined as a CFS>4 with pelvic fractures have worse outcomes than non-frail patients with a CFS≤4 despite similar injuries. All geriatric patients with pelvic fractures and documented CFS were included. Seventy patients were included, with 59% (n = 41) frail. The groups were compared with no difference in mortality. The frail group was older and were most likely discharged to a skilled nursing facility (65.8%). Non-frail were most likely discharged to acute rehab (52%). Frail had lower functional status at discharge (median: 14.5v.16, P = .015). Frail patients had worse overall outcomes in this analysis of geriatric pelvic fracture patients. Special attention should focus on this vulnerable population to ensure optimal treatment and outcomes.
虚弱的老年骨盆骨折患者与非虚弱患者的表现可能不同。本研究使用临床虚弱量表（CFS）进行回顾性分析，以确定患者的 CFS 与骨盆骨折后的结果之间的关系。我们假设，与 CFS≤4 的非虚弱患者相比，定义为 CFS>4 的虚弱老年创伤患者尽管损伤相似，但结局更差。纳入所有有骨盆骨折和记录 CFS 的老年患者。共纳入 70 例患者，其中 59%（n=41）为虚弱。两组在死亡率方面没有差异。虚弱组年龄更大，更有可能被送往康复护理机构（65.8%）。非虚弱组最有可能被送往急性康复机构（52%）。出院时虚弱组的功能状态更低（中位数：14.5v.16，P=.015）。在这项对老年骨盆骨折患者的分析中，虚弱患者的整体预后更差。应特别关注这一脆弱人群，以确保获得最佳的治疗和结果。
