UMEM Educational Pearls

Category: Trauma

Title: Age is just a number

Posted: 1/7/2024 by Robert Flint, MD (Updated: 4/13/2024)
Click here to contact Robert Flint, MD

Approaching patients based on their frailty, not their age, leads to better medical decision making. A recent best practice guideline from the American College of Surgeons sums up frailty: 
“It is well recognized that aging is associated with physiological decline, but this decline is not uniform across all individuals or even across one individual’s organ systems. Frailty is a geriatric syndrome, clinically distinct from age, comorbidity, and functional disability, characterized by age- associated depletion of physiological reserves that leads
to a state of augmented vulnerability to physical stressors and a diminished ability to recover from illnesses.” A trauma specific frailty  index exists to identify these high risk patients.

References

BEST PRACTICES GUIDELINES
GERIATRIC TRAUMA
MANAGEMENT
November 2023
Trauma
Programs
American College of Surgeons

https://www.facs.org/media/ubyj2ubl/best-practices-guidelines-geriatric-trauma.pdf