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Association of Clinical Frailty Scores With Hospital Readmission for Falls After Index Admission for Trauma-Related Injury
Author(s) -
Victor H. Hatcher,
Colette Galet,
Michele Lilienthal,
Dionne A. Skeete,
Kathleen S Romanowski
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.12409
Subject(s) - medicine , injury severity score , medical record , retrospective cohort study , abbreviated injury scale , emergency medicine , injury prevention , population , poison control , occupational safety and health , frailty index , cohort study , geriatric trauma , physical therapy , environmental health , pathology
Key Points Question Is frailty assessed using the Canadian Study of Health and Aging Clinical Frailty Scale associated with hospital readmission for falls after index admission for trauma-related injury? Findings In this cohort study of 804 patients aged 50 years and older with trauma-related injury, frailty was more likely to be associated with readmission for falls after index admission and discharge disposition to a skilled nursing facility compared with nonfrailty. Meaning Assessment of frailty at hospital admission may provide an effective tool to evaluate fall risk and the likelihood of discharge disposition to a skilled nursing facility among patients with trauma-related injury aged 50 years and older, and may provide useful information for discharge planning by evaluating the need for referrals to fall prevention programs among at-risk patients and by estimating potential health care costs.

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