Anesthesia and analgesia
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Anesthesia and analgesia · Jun 2020
Meta AnalysisThe Association of Frailty With Adverse Outcomes After Multisystem Trauma: A Systematic Review and Meta-analysis.
Frailty strongly predicts adverse outcomes in a variety of clinical settings; however, frailty-related trauma outcomes have not been systematically reviewed and quantitatively synthesized. Our objective was to systematically review and meta-analyze the association between frailty and outcomes (mortality-primary; complications, health resource use, and patient experience-secondary) after multisystem trauma. ⋯ The presence of frailty is significantly associated with mortality, complications, and adverse discharge disposition after multisystem trauma. This provides important prognostic information to inform discussions with patients and families and highlights the need for trauma system optimization to meet the complex needs of older patients.