TSFIValidation of Trauma Specific Frailty Index in Geriatric Trauma Patients

The study focuses on the geriatric population, specifically those who have experienced trauma, as they are the fastest growing age group in the U.S and are at high risk of developing complications. Frailty, a condition of reduced resistance to stressors due to a decline in physiological reserves, is a major health burden in older people and is associated with adverse health outcomes. The Trauma Specific Frailty Index (TSFI) was developed to predict the presence of frailty and pre-frailty syndrome in geriatric trauma patients. This study aims to validate the TSFI on a large scale, across multiple institutions, to improve care and address current challenges for geriatric trauma patients. In this observational study, Methodist Dallas Medical Center (MDMC) will participate as a site contributing to the multi-center study led by Dr. Bellal at the University of Arizona. At MDMC, Dr. Amos will serve as the site-PI. The study will monitor participants for complications associated with treatment and will also track mortality rates. The TSFI, which consists of 15 variables, will be used to predict adverse discharge dispositions, such as mortality or discharge to a skilled nursing facility, as well as adverse complications and failure to rescue among geriatric trauma patients.