American journal of surgery · 2025
Frailty in older motorcycle riders increases the risk of chest trauma, mortality, and adverse discharge.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Reyes Ana M, Shah Maya, Cobler-Lichter Michael D, Arcieri Talia R, Delamater Jessica M, Lineen Edward B, Valenzuela Julie Y, Pust Gerd D, Proctor Kenneth G, Namias Nicholas, Byers Patricia M
Аннотация
BACKGROUND: Older adults represent a growing proportion of motorcyclists and experience poor outcomes after crashes, but the role of frailty has not been characterized. We hypothesized that certain injuries and adverse outcomes would be more common with frailty.
METHODS: The Trauma Quality Improvement Program database was retrospectively reviewed for patients aged ≥50 years with motorcycle collisions from 2017 to 2021. Injury patterns were compared by frailty status and multivariable regression assessed the effect of frailty on mortality and adverse discharge.
RESULTS: Among 58,149 patients, 14.9 % were frail. Frail patients sustained fewer lower extremity injuries but had higher rates of chest injury. Frailty was associated with mortality (aOR 1.31, 95 % CI 1.13-1.51) and discharge to healthcare facilities (aOR 1.52, 95 % CI 1.43-1.62).
CONCLUSIONS: These findings highlight opportunities for integrating frailty screening into motorcycle rider education and support the promotion of chest protection, such as protective vests, for older, frail riders.
METHODS: The Trauma Quality Improvement Program database was retrospectively reviewed for patients aged ≥50 years with motorcycle collisions from 2017 to 2021. Injury patterns were compared by frailty status and multivariable regression assessed the effect of frailty on mortality and adverse discharge.
RESULTS: Among 58,149 patients, 14.9 % were frail. Frail patients sustained fewer lower extremity injuries but had higher rates of chest injury. Frailty was associated with mortality (aOR 1.31, 95 % CI 1.13-1.51) and discharge to healthcare facilities (aOR 1.52, 95 % CI 1.43-1.62).
CONCLUSIONS: These findings highlight opportunities for integrating frailty screening into motorcycle rider education and support the promotion of chest protection, such as protective vests, for older, frail riders.