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Frail older adults with minor fractures show lower health-related quality of life (SF-12) scores up to six months following emergency department discharge

Overview of attention for article published in Health and Quality of Life Outcomes, March 2016
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Title
Frail older adults with minor fractures show lower health-related quality of life (SF-12) scores up to six months following emergency department discharge
Published in
Health and Quality of Life Outcomes, March 2016
DOI 10.1186/s12955-016-0441-7
Pubmed ID
Authors

Véronique Provencher, Marie-Josée Sirois, Marcel Émond, Jeffrey J. Perry, Raoul Daoust, Jacques S. Lee, Lauren E. Griffith, Brice Lionel Batomen Kuimi, Litz Rony Despeignes, Laura Wilding, Vanessa Fillion, Nadine Allain-Boulé, Johan Lebon, On behalf of the Canadian Emergency Team Initiative on Mobility in Aging

Abstract

Minor fractures (e.g. wrist, ankle) are risk factors for lower physical health-related quality of life (HRQoL) in seniors. Recent studies found that measures of frailty were associated with decreased physical and mental HRQoL in older people. As most people with minor fractures go to emergency departments (EDs) for treatment, measuring their frailty status in EDs may help stratify their level of HRQoL post-injury and provide them with appropriate health care and services after discharge. This study thus examines the HRQoL of seniors visiting EDs for minor fractures at 3 and 6 months after discharge, according to their frailty status. This prospective sub-study was conducted within the larger Canadian Emergency Team Initiative (CETI) cohort. Independent seniors (≥65 years) were recruited in 7 Canadian EDs after treatment for various minor fractures. Frailty status in the ED phase was assessed by the Canadian Study of Health and Aging--Clinical Frailty Scale (CSHA-CFS). The SF-12 questionnaire was completed at 3 and 6 months after ED discharge to ascertain HRQoL. Demographic and clinical data were collected. Linear mixed models were used to test for differences between frailty levels and HRQoL outcomes, controlling for confounding variables and repeated measures over time. The sample comprised 334 participants with minor fractures. Prevalence of frailty was as follows: 56.6 % very fit-well; 32.3 % well with treated comorbidities-apparently vulnerable; and 11.1 % mildly-moderately frail. After adjusting for confounding variables, the frailest group showed significantly lower mean HRQoL scores than the fittest group on the physical scale at 3 months (49.3 ± 3.7 vs 60.9 ± 2.0) and 6 months (48.7 ± 3.8 vs 61.1 ± 1.8), as well as on the mental scale at 3 months (59.5 ± 4.4 vs 69.6 ± 1.9). Analyses exploring differences in proportion of patients with HRQoL < 50/100 between the three groups produced similar results. Older adults with minor fractures who were frail had lower physical and mental HRQoL scores at 3 and 6 months after ED discharge than their fittest counterparts. Measuring the frailty status of older adults who suffered a minor fracture in ED might help clinical decision-making at the time of discharge by providing them with appropriate health care and services to improve their HRQoL in the following months.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 69 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 13%
Researcher 8 12%
Student > Ph. D. Student 8 12%
Student > Bachelor 6 9%
Other 6 9%
Other 9 13%
Unknown 23 33%
Readers by discipline Count As %
Nursing and Health Professions 11 16%
Medicine and Dentistry 9 13%
Psychology 5 7%
Social Sciences 3 4%
Sports and Recreations 3 4%
Other 12 17%
Unknown 26 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 March 2016.
All research outputs
#15,364,458
of 22,856,968 outputs
Outputs from Health and Quality of Life Outcomes
#1,305
of 2,159 outputs
Outputs of similar age
#178,034
of 299,380 outputs
Outputs of similar age from Health and Quality of Life Outcomes
#16
of 38 outputs
Altmetric has tracked 22,856,968 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,159 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 32nd percentile – i.e., 32% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 299,380 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.