Effectiveness of Frailty Index in predicting in-hospital complications, need for discharge to a skilled nursing facility or in-hospital death in older patients following physical trauma.
Accident and Trauma Care - Golden Hour - Taking Care - Don’t
Accident and trauma care is an important public health challenge that requires immediate attention. Injury (trauma) is the leading cause of death for all age groups under the age of 44.
Accident and trauma care is an important public health challenge that requires immediate attention. Injury (trauma) is the leading cause of death for all age groups under the age of 44.
Background: The role of frailty in trauma patients remains unclear. Current guidelines that define the management of elderly patients who experience trauma fail to take into account the low physiological reserve and altered response to injury these patients have.
How the Study Was Conducted: The authors measured frailty in all elderly trauma patients (65 years or older) during a two-year study at a trauma center at the University of Arizona. Frailty was measured using the FI, which was obtained from the Canadian Study of Health and Aging. Frailty was defined as a syndrome of decreased physiological reserve and resistance to stressors, which results in increased vulnerability to poor health outcomes, worsening mobility and disability, hospitalizations and death. The study enrolled 250 patients with an average age of 77.9 years.
Urology Paediatric Emergencies - Trauma - Renal Failure
The testis can go for a twist inside the sac it is held. This results in loss of blood supply. If left untreated for more than 6 hours the testis loses function.
The testis can go for a twist inside the sac it is held. This results in loss of blood supply. If left untreated for more than 6 hours the testis loses function.
Discussion: "Using age as the sole reference for clinical decision making is inadequate and misleading in geriatric patients. The FI should be used as a clinical tool for risk stratification among geriatric trauma patients."
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Chronic Trauma Can Cause Long-Term Brain Damage
Research shows that victims of post traumatic stress disorder (PTSD) experience stress and trauma even when they are not facing any imminent threat or danger.
Research shows that victims of post traumatic stress disorder (PTSD) experience stress and trauma even when they are not facing any imminent threat or danger.
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
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Alarming Facts about Road Traffic Accidents (RTAs)
Wearing a proper helmet while riding a motorcycle can reduce the risk of death by 40%. Here are some interesting facts about road traffic accidents.
Wearing a proper helmet while riding a motorcycle can reduce the risk of death by 40%. Here are some interesting facts about road traffic accidents.
In a related commentary, Thomas N. Robinson, M.D., M.S., of the University of Colorado School of Medicine, Aurora, and Emily Finlayson, University of California, San Francisco, M.D., M.S., write: "Joseph and colleagues are to be congratulated on this important work highlighting the relative effect of chronological and physiological age on trauma outcomes. Although the best frailty tool for trauma cases has yet to be determined, this study should trigger further research and quality improvement efforts targeting the growing population of trauma patients with frailty."
(JAMA Surgery. Published online June 11, 2014. doi:10.1001/jamasurg.2014.304. Available pre-embargo to the media at media.jamanetwork.com.)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
Source-Eurekalert
