ArticleClinics (Sao Paulo, Brazil)2025
Difference among frailty assessment tools in predicating postoperative prognosis of elderly patients with mild traumatic brain injury.
Article in Clinics (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesMild Traumatic Brain Injury (mTBI) is quite prevalent in the elderly population, and the authors performed a retrospective analysis regarding the predictive value of frailty assessing tools regarding the prognosis of elderly mTBI patients.
methodsAll the patients underwent assessment of frailty upon admission using five tools including Frailty Phenotype (FP), FRAIL Scale (FS), Edmonton Frailty Scale (EFS), Groningen Frailty Indicator (GFI), and Clinical Frailty Scale (CFS). The predicting potential of tools was analyzed against the prognosis defined by the extended Glasgow Outcome Scale (GOSE).
resultsThe incidence of frailty in elderly patients varies widely among the tools. Multivariate logistic regression analysis showed that only frail conditions defined by FP (p-value = 0.014) and FS (p-value = 0.004) could be employed for predicting unfavorable prognosis defined by GOSE, while frailty defined by CFS (p-value = 0.683), EFS (p-value = 0.301) and GFI (p-value = 0.925) could not. The ROC further showed that FP (AUC = 73.2 %) and FS (AUC = 76.2 %) had moderate power in predicting unfavorable conditions, while CFS (AUC = 46.1 %), EFS (AUC = 55.6 %), and GFI (AUC = 51.5 %) only had low or even no power.
conclusionsFP and FS could be used to predict the unfavorable prognosis associated with mTBI in the elderly population.
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