Document Detail

Functional status after injury: a longitudinal study of geriatric trauma.
MedLine Citation:
PMID:  21105608     Owner:  NLM     Status:  MEDLINE    
We evaluated self-rated functional status measured longitudinally in the year after injury in a geriatric trauma population. The longitudinal (L) group included 37 of 60 eligible trauma patients aged 65 years or older admitted December 2006 to November 2007 for greater than 24 hours who completed a Short Functional Status questionnaire (SFS) at 3, 6, and 12 months after injury. The SFS yields scores of 0 to 5 (5 = independent in all five activities of daily living [ADLs]) and has been validated among community-dwelling elders. The control (C) group included 63 trauma patients aged 65 years or older admitted December 2007 to July 2009 for greater than 24 hours who reported their preinjury functional status using the SFS at hospital admission. We used characteristics and scores of the C group to impute preinjury ADL scores for the L group. The groups were similar in baseline characteristics (age, ethnicity, Injury Severity Score, Charlson Comorbidity Index, and living arrangement; P > 0.05). For the C group, the preinjury ADL score was 4.6 (SD = 0.9). For the L group, ADL scores declined at all intervals reaching statistical significance at 12 months. We conclude that in the year after traumatic injury, geriatric patients lost the equivalent of approximately one ADL, increasing their risk of further functional decline, loss of independence, and death.
Lorraine Kelley-Quon; Lillian Min; Eric Morley; Jonathan R Hiatt; Henry Cryer; Areti Tillou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  76     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-25     Completed Date:  2011-01-04     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1055-8     Citation Subset:  IM    
Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
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MeSH Terms
Activities of Daily Living*
Geriatric Assessment* / methods
Health Status Indicators
Recovery of Function*
Wounds and Injuries / complications*,  rehabilitation
Grant Support

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