Lean psoas area does not correlate with clinical outcomes in moderately to severely injured older people

Lean psoas area does not correlate with clinical outcomes in moderately to severely injured older... Policy ImpactThis article demonstrates that the outcomes of acute geriatric trauma are best predicted by the severity of the trauma. Management as guided by the clinical scenario is appropriate, and no change to policy is suggested from the outcome of this article.Practice ImpactThis retrospective cohort study reiterates the need for further research to develop an objective measure of frailty in our older patients to assist with a more clinically oriented decision‐making process for patient care.IntroductionAs Australia's population continues to age, the number of older people suffering trauma is also increasing. Tools that assist in predicting outcome in the trauma setting would allow appropriate management of these patients, including decisions involving operative intervention, disposition and counselling of these patients.Chronologic age is used to define physiologic vulnerability. However, there is a wide variation in the age at which individuals begin to deteriorate physiologically. In 2004, Shah and co‐workers found no difference in functional outcomes based solely on age in patients undergoing rehabilitation .The University of Arizona demonstrated that in the trauma setting, a Frailty Index (FI) was a superior and more reliable indicator of outcome, compared with chronological age . Frailty can be defined as a state of low physiologic reserve http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Australasian Journal on Ageing Wiley

Lean psoas area does not correlate with clinical outcomes in moderately to severely injured older people

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 AJA Inc.
ISSN
1440-6381
eISSN
1741-6612
D.O.I.
10.1111/ajag.12482
Publisher site
See Article on Publisher Site

Abstract

Policy ImpactThis article demonstrates that the outcomes of acute geriatric trauma are best predicted by the severity of the trauma. Management as guided by the clinical scenario is appropriate, and no change to policy is suggested from the outcome of this article.Practice ImpactThis retrospective cohort study reiterates the need for further research to develop an objective measure of frailty in our older patients to assist with a more clinically oriented decision‐making process for patient care.IntroductionAs Australia's population continues to age, the number of older people suffering trauma is also increasing. Tools that assist in predicting outcome in the trauma setting would allow appropriate management of these patients, including decisions involving operative intervention, disposition and counselling of these patients.Chronologic age is used to define physiologic vulnerability. However, there is a wide variation in the age at which individuals begin to deteriorate physiologically. In 2004, Shah and co‐workers found no difference in functional outcomes based solely on age in patients undergoing rehabilitation .The University of Arizona demonstrated that in the trauma setting, a Frailty Index (FI) was a superior and more reliable indicator of outcome, compared with chronological age . Frailty can be defined as a state of low physiologic reserve

Journal

Australasian Journal on AgeingWiley

Published: Jan 1, 2018

Keywords: ; ; ; ;

References

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