Frailty in elderly major trauma patients Not Applicable
Conditions
Interventions
Following a consent process, each participant will be assessed for frailty by a nurse in the ED using standardised measurements of frailty. Nurses will be trained in how to perform a frailty assessmen
Sponsors
St George’s University Hospitals NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Major trauma patients (age 65 years and over) admitted to the MTC requiring activation of a trauma team. The criteria for activation of the trauma team at each site may vary and therefore it is the responsibility of the clinical and/or research nursing staff at each site to identify eligible participants.
Exclusion criteria
Exclusion criteria: 1. Patients with no history of traumatic injury 2. Patients under the age of 65 years old 3. Patients discharged from the Emergency Department 4. Patients transferred from another hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frailty, initially measured in the emergency department (ED) using three tools; the Clinical Frailty Scale (Rockwood), PRISMA-7 and Trauma Specific Frailty Index (TSFI) and then re-measured and validated using Rockwood within 72 hours of admission | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at point of discharge and at 6 months follow-up: 1. Continuous data: injury severity score, length of stays and EQ-5D-5L scales 2. Categorical data: alive/died, critical care admission yes/no, discharge destination: usual place of residence/care home/other, readmission yes/no, reasons for readmission coded e.g. falls, infection etc | — |
Countries
England, United Kingdom
Contacts
Public ContactBebhinn Dillane
Outcome results
None listed