{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:18:46Z","timestamp":1793161126367,"version":"4.5.0"},"reference-count":49,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T00:00:00Z","timestamp":1693267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003509","name":"\u00d6rebro University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003509","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Pelvic fractures among older adults are associated with an increased risk of adverse outcomes, with frailty likely being a contributing factor. The current study endeavors to describe the association between frailty, measured using the Orthopedic Frailty Score (OFS), and adverse outcomes in geriatric pelvic fracture patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All geriatric (65\u00a0years or older) patients registered in the 2013\u20132019 Trauma Quality Improvement Program database with an isolated pelvic fracture following blunt trauma were considered for inclusion. An isolated pelvic fracture was defined as any fracture in the pelvis with a lower extremity AIS\u2009\u2265\u20092, any abdomen AIS, and an AIS\u2009\u2264\u20091 in all other regions. Poisson regression models were employed to determine the association between the OFS and adverse outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 66,404 patients were included for further analysis. 52% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200934,292) were classified as non-frail (OFS 0), 32% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200921,467) were pre-frail (OFS 1), and 16% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200910,645) were classified as frail (OFS\u2009\u2265\u20092). Compared to non-frail patients, frail patients exhibited a 88% increased risk of in-hospital mortality [adjusted IRR (95% CI): 1.88 (1.54\u20132.30),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001], a 25% increased risk of complications [adjusted IRR (95% CI): 1.25 (1.10\u20131.42),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001], a 56% increased risk of failure-to-rescue [adjusted IRR (95% CI): 1.56 (1.14\u20132.14),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006], and a 10% increased risk of ICU admission [adjusted IRR (95% CI): 1.10 (1.02\u20131.18),\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Frail pelvic fracture patients suffer from a disproportionately increased risk of mortality, complications, failure-to-rescue, and ICU admission. Additional measures are required to mitigate adverse events in this vulnerable patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-023-02355-0","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T14:02:14Z","timestamp":1693317734000},"page":"2623-2631","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Adverse outcomes following pelvic fracture: the critical role of frailty"],"prefix":"10.1007","volume":"49","author":[{"given":"Maximilian Peter","family":"Forssten","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babak","family":"Sarani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Mohammad Ismail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Marcelo A. F.","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Hildebrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7097-487X","authenticated-orcid":false,"given":"Shahin","family":"Mohseni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,29]]},"reference":[{"key":"2355_CR1","unstructured":"United Nations Department of Economic and Social Affairs, Population Division. World Population Ageing 2020 Highlights: Living arrangements of older persons [Internet]. New York, USA: United Nations Department of Economic and Social Affairs; 2020. Available from: https:\/\/www.un.org\/development\/desa\/pd\/sites\/www.un.org.development.desa.pd\/files\/undesa_pd-2020_world_population_ageing_highlights.pdf"},{"key":"2355_CR2","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/S0140-6736(14)60443-8","volume":"383","author":"X-Q Wang","year":"2014","unstructured":"Wang X-Q, Chen P-J. Population ageing challenges health care in China. Lancet Lond Engl. 2014;383:870.","journal-title":"Lancet Lond Engl"},{"key":"2355_CR3","first-page":"1274","volume":"379","author":"T Lancet","year":"2012","unstructured":"Lancet T. Ageing well: a global priority. The Lancet. 2012;379:1274.","journal-title":"The Lancet"},{"key":"2355_CR4","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1093\/ageing\/aft212","volume":"43","author":"GL Nanninga","year":"2014","unstructured":"Nanninga GL, de Leur K, Panneman MJM, van der Elst M, Hartholt KA. Increasing rates of pelvic fractures among older adults: the Netherlands, 1986\u20132011. Age Ageing. 2014;43:648\u201353.","journal-title":"Age Ageing"},{"key":"2355_CR5","doi-asserted-by":"crossref","first-page":"2834","DOI":"10.3390\/jcm11102834","volume":"11","author":"M Behanova","year":"2022","unstructured":"Behanova M, Haschka J, Reichardt B, Dimai H-P, Resch H, Zwerina J, et al. Pelvic fractures\u2014An underestimated problem? Incidence and mortality risk after pelvic fracture in Austria, 2010\u20132018. J Clin Med. 2022;11:2834.","journal-title":"J Clin Med"},{"key":"2355_CR6","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1007\/s00590-014-1439-7","volume":"24","author":"ND Clement","year":"2014","unstructured":"Clement ND, Court-Brown CM. Elderly pelvic fractures: the incidence is increasing and patient demographics can be used to predict the outcome. Eur J Orthop Surg Traumatol. 2014;24:1431\u20137.","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"2355_CR7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1186\/s12877-019-1320-y","volume":"19","author":"A Reito","year":"2019","unstructured":"Reito A, Kuoppala M, Pajulammi H, Hokkinen L, Kyr\u00f6l\u00e4 K, Paloneva J. Mortality and comorbidity after non-operatively managed, low-energy pelvic fracture in patients over age 70: a comparison with an age-matched femoral neck fracture cohort and general population. BMC Geriatr. 2019;19:315.","journal-title":"BMC Geriatr"},{"key":"2355_CR8","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1186\/s12877-022-03223-z","volume":"22","author":"M Ramser","year":"2022","unstructured":"Ramser M, Vach W, Strub N, Cadosch D, Saxer F, Eckardt H. The impact of specific fracture characteristics of low-energy fractures of the pelvis on mortality. BMC Geriatr. 2022;22:669.","journal-title":"BMC Geriatr"},{"key":"2355_CR9","volume":"14","author":"H Banierink","year":"2019","unstructured":"Banierink H, ten Duis K, de Vries R, Wendt K, Heineman E, Reininga I, et al. Pelvic ring injury in the elderly: Fragile patients with substantial mortality rates and long-term physical impairment. PLoS\u00a0One. 2019;14: e0216809.","journal-title":"PLoS\u00a0One"},{"key":"2355_CR10","first-page":"70","volume":"115","author":"L Oberkircher","year":"2018","unstructured":"Oberkircher L, Ruchholtz S, Rommens PM, Hofmann A, B\u00fccking B, Kr\u00fcger A. Osteoporotic pelvic fractures. Dtsch Arzteblatt Int. 2018;115:70\u201380.","journal-title":"Dtsch Arzteblatt Int"},{"key":"2355_CR11","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1302\/0301-620X.83B8.0831141","volume":"83","author":"RMF Hill","year":"2001","unstructured":"Hill RMF, Robinson CM, Keating JF. Fractures of the pubic rami: epidemiology and five-year survival. J Bone Joint Surg Br. 2001;83:1141\u20134.","journal-title":"J Bone Joint Surg Br"},{"key":"2355_CR12","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1111\/j.1532-5415.2011.03455.x","volume":"59","author":"SC Mears","year":"2011","unstructured":"Mears SC, Berry DJ. Outcomes of displaced and nondisplaced pelvic and sacral fractures in elderly adults. J Am Geriatr Soc. 2011;59:1309\u201312.","journal-title":"J Am Geriatr Soc"},{"key":"2355_CR13","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1080\/17453674.2019.1680485","volume":"91","author":"O Gundel","year":"2020","unstructured":"Gundel O, Thygesen LC, G\u00f6genur I, Ekeloef S. Postoperative mortality after a hip fracture over a 15-year period in Denmark: a national register study. Acta Orthop. 2020;91:58\u201362.","journal-title":"Acta Orthop"},{"key":"2355_CR14","doi-asserted-by":"crossref","first-page":"213","DOI":"10.2106\/JBJS.20.00738","volume":"103","author":"CT Smith","year":"2021","unstructured":"Smith CT, Barton DW, Piple AS, Carmouche JJ. Pelvic fragility fractures: an opportunity to improve the undertreatment of osteoporosis. J Bone Joint Surg Am. 2021;103:213\u20138.","journal-title":"J Bone Joint Surg Am"},{"key":"2355_CR15","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1097\/TA.0000000000000103","volume":"76","author":"B Joseph","year":"2014","unstructured":"Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, et al. Frailty in surgery. J Trauma Acute Care Surg. 2014;76:1151\u20136.","journal-title":"J Trauma Acute Care Surg"},{"key":"2355_CR16","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/S0140-6736(12)62167-9","volume":"381","author":"A Clegg","year":"2013","unstructured":"Clegg A, Young J, Iliffe S, Rikkert MO, Rockwood K. Frailty in elderly people. Lancet Lond Engl. 2013;381:752\u201362.","journal-title":"Lancet Lond Engl"},{"key":"2355_CR17","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1503\/cmaj.050051","volume":"173","author":"K Rockwood","year":"2005","unstructured":"Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ Can Med Assoc J. 2005;173:489\u201395.","journal-title":"CMAJ Can Med Assoc J"},{"key":"2355_CR18","doi-asserted-by":"crossref","first-page":"M146","DOI":"10.1093\/gerona\/56.3.M146","volume":"56","author":"LP Fried","year":"2001","unstructured":"Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146-156.","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"2355_CR19","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1177\/00031348221084943","volume":"88","author":"LL Perea","year":"2022","unstructured":"Perea LL, Fort LS, Morgan ME, Brown CT, Wang S, Bradburn E. Frailty is associated with worse outcomes in geriatric pelvic fractures. Am Surg. 2022;88:1573\u20135.","journal-title":"Am Surg"},{"key":"2355_CR20","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-018836","volume":"8","author":"R Ravindrarajah","year":"2018","unstructured":"Ravindrarajah R, Hazra NC, Charlton J, Jackson SHD, Dregan A, Gulliford MC. Incidence and mortality of fractures by frailty level over 80 years of age: cohort study using UK electronic health records. BMJ Open. 2018;8: e018836.","journal-title":"BMJ Open"},{"key":"2355_CR21","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1093\/aje\/kwi295","volume":"162","author":"JL Kelsey","year":"2005","unstructured":"Kelsey JL, Prill MM, Keegan THM, Quesenberry CP, Sidney S. Risk factors for pelvis fracture in older persons. Am J Epidemiol. 2005;162:879\u201386.","journal-title":"Am J Epidemiol"},{"key":"2355_CR22","unstructured":"WMA - The World Medical Association-WMA Declaration of Helsinki \u2013 Ethical Principles for Medical Research Involving Human Subjects. Available from: https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects\/"},{"key":"2355_CR23","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2022-000962","volume":"7","author":"MP Forssten","year":"2022","unstructured":"Forssten MP, Cao Y, Trivedi DJ, Ekestubbe L, Borg T, Bass GA, et al. Developing and validating a scoring system for measuring frailty in patients with hip fracture: a novel model for predicting short-term postoperative mortality. Trauma Surg Acute Care Open. 2022;7: e000962.","journal-title":"Trauma Surg Acute Care Open"},{"issue":"3","key":"2355_CR24","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1007\/s00068-022-02204-6","volume":"49","author":"MP Forssten","year":"2022","unstructured":"Forssten MP, Mohammad Ismail A, Ioannidis I, Wretenberg P, Borg T, Cao Y, et al. The mortality burden of frailty in hip fracture patients: a nationwide retrospective study of cause-specific mortality. Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc. 2022;49(3):1467\u201375.","journal-title":"Eur J Trauma Emerg Surg Off Publ Eur Trauma Soc."},{"key":"2355_CR25","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1093\/ije\/dyaa260","volume":"50","author":"MA Mansournia","year":"2021","unstructured":"Mansournia MA, Nazemipour M, Naimi AI, Collins GS, Campbell MJ. Reflection on modern methods: demystifying robust standard errors for epidemiologists. Int J Epidemiol. 2021;50:346\u201351.","journal-title":"Int J Epidemiol"},{"key":"2355_CR26","unstructured":"R Development Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2008. Available from: http:\/\/www.R-project.org\/"},{"key":"2355_CR27","doi-asserted-by":"crossref","first-page":"1955","DOI":"10.1016\/j.injury.2016.06.019","volume":"47","author":"B Bhattacharya","year":"2016","unstructured":"Bhattacharya B, Maung A, Schuster K, Davis KA. The older they are the harder they fall: injury patterns and outcomes by age after ground level falls. Injury. 2016;47:1955\u20139.","journal-title":"Injury"},{"key":"2355_CR28","volume":"15","author":"C Bergh","year":"2020","unstructured":"Bergh C, Wennergren D, M\u00f6ller M, Brisby H. Fracture incidence in adults in relation to age and gender: a study of 27,169 fractures in the Swedish Fracture Register in a well-defined catchment area. PLoS\u00a0One. 2020;15: e0244291.","journal-title":"PLoS\u00a0One"},{"key":"2355_CR29","doi-asserted-by":"crossref","first-page":"2402","DOI":"10.1016\/j.injury.2020.07.031","volume":"51","author":"M Rogers","year":"2020","unstructured":"Rogers M, Brown R, Stanger S. Frailty in orthopaedics: is age relevant? Injury. 2020;51:2402\u20136.","journal-title":"Injury"},{"key":"2355_CR30","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.jor.2020.05.024","volume":"22","author":"PH Mamtora","year":"2020","unstructured":"Mamtora PH, Fortier MA, Barnett SR, Schmid LN, Kain ZN. Peri-operative management of frailty in the orthopedic patient. J Orthop. 2020;22:304\u20137.","journal-title":"J Orthop"},{"key":"2355_CR31","volume":"98","author":"RL Kane","year":"2016","unstructured":"Kane RL, Switzer JA, Forte ML. Rethinking orthopaedic decision-making for frail patients with hip fracture: commentary on an article by Marilyn Heng, MD, FRCSC, et al.: Abnormal Mini-Cog is associated with higher risk of complications and delirium in geriatric patients with fracture. JBJS. 2016;98: e39.","journal-title":"JBJS"},{"key":"2355_CR32","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1302\/2058-5241.4.180062","volume":"4","author":"MA K\u00fcper","year":"2019","unstructured":"K\u00fcper MA, Trulson A, Stuby FM, St\u00f6ckle U. Pelvic ring fractures in the elderly. EFORT Open Rev. 2019;4:313\u201320.","journal-title":"EFORT Open Rev"},{"key":"2355_CR33","first-page":"1","volume":"7","author":"JA Rodriguez Jr","year":"2021","unstructured":"Rodriguez JA Jr, Shahi A, Mashru RP, Graf KW Jr. Review of the literature and surgeon\u2019s opinion: pelvic fractures in the geriatric population. To fix or not to fix? Gerontol Geriatr Med. 2021;7:1\u20137.","journal-title":"Gerontol Geriatr Med"},{"key":"2355_CR34","doi-asserted-by":"crossref","first-page":"2387","DOI":"10.1007\/s00198-015-3166-2","volume":"26","author":"S Sabharwal","year":"2015","unstructured":"Sabharwal S, Wilson H. Orthogeriatrics in the management of frail older patients with a fragility fracture. Osteoporos Int. 2015;26:2387\u201399.","journal-title":"Osteoporos Int"},{"key":"2355_CR35","unstructured":"American College of Surgeons. ACS TQIP geriatric trauma management guidelines. 2013. Available from: https:\/\/www.facs.org\/media\/314or1oq\/geriatric_guidelines.pdf"},{"key":"2355_CR36","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/s00223-021-00913-5","volume":"110","author":"A Van Heghe","year":"2022","unstructured":"Van Heghe A, Mordant G, Dupont J, Dejaeger M, Laurent MR, Gielen E. Effects of orthogeriatric care models on outcomes of hip fracture patients: a systematic review and meta-analysis. Calcif Tissue Int. 2022;110:162\u201384.","journal-title":"Calcif Tissue Int"},{"key":"2355_CR37","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1007\/s00264-018-3928-5","volume":"43","author":"J Moyet","year":"2019","unstructured":"Moyet J, Deschasse G, Marquant B, Mertl P, Bloch F. Which is the optimal orthogeriatric care model to prevent mortality of elderly subjects post hip fractures? A systematic review and meta-analysis based on current clinical practice. Int Orthop. 2019;43:1449\u201354.","journal-title":"Int Orthop"},{"key":"2355_CR38","doi-asserted-by":"crossref","first-page":"e49","DOI":"10.1097\/BOT.0b013e3182a5a045","volume":"28","author":"KV Grigoryan","year":"2014","unstructured":"Grigoryan KV, Javedan H, Rudolph JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. J Orthop Trauma. 2014;28:e49-55.","journal-title":"J Orthop Trauma"},{"key":"2355_CR39","volume":"7","author":"CA Pean","year":"2023","unstructured":"Pean CA, Thomas HM, Singh UM, DeBaun MR, Weaver MJ, von Keudell AG. Use of a six-item modified frailty index to predict 30-day adverse events, readmission, and mortality in older patients undergoing surgical fixation of lower extremity, pelvic, and acetabular fractures. JAAOS Glob Res Rev. 2023;7: e22.00286.","journal-title":"JAAOS Glob Res Rev"},{"key":"2355_CR40","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16035","author":"I Roopsawang","year":"2021","unstructured":"Roopsawang I, Zaslavsky O, Thompson H, Aree-Ue S, Kwan RYC, Belza B. Frailty measurements in hospitalised orthopaedic populations age 65 and older: a scoping review. J Clin Nurs. 2021. https:\/\/doi.org\/10.1111\/jocn.16035.","journal-title":"J Clin Nurs"},{"key":"2355_CR41","doi-asserted-by":"crossref","first-page":"2464","DOI":"10.1111\/jgs.14387","volume":"64","author":"Z Cooper","year":"2016","unstructured":"Cooper Z, Rogers SO, Ngo L, Guess J, Schmitt E, Jones RN, et al. A comparison of frailty measures as predictors of outcomes after orthopedic surgery. J Am Geriatr Soc. 2016;64:2464\u201371.","journal-title":"J Am Geriatr Soc"},{"key":"2355_CR42","doi-asserted-by":"crossref","first-page":"1858","DOI":"10.1111\/jgs.14233","volume":"64","author":"O Zaslavsky","year":"2016","unstructured":"Zaslavsky O, Zelber-Sagi S, Gray SL, LaCroix AZ, Brunner RL, Wallace RB, et al. A comparison of frailty phenotypes for prediction of mortality, incident falls, and hip fractures in older women. J Am Geriatr Soc. 2016;64:1858\u201362.","journal-title":"J Am Geriatr Soc"},{"key":"2355_CR43","unstructured":"Mendiratta P, Schoo C, Latif R. Clinical frailty scale. StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK559009\/"},{"key":"2355_CR44","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1093\/ageing\/afab006","volume":"50","author":"O Theou","year":"2021","unstructured":"Theou O, P\u00e9rez-Zepeda MU, van der Valk AM, Searle SD, Howlett SE, Rockwood K. A classification tree to assist with routine scoring of the Clinical Frailty Scale. Age Ageing. 2021;50:1406\u201311.","journal-title":"Age Ageing"},{"key":"2355_CR45","doi-asserted-by":"crossref","first-page":"40","DOI":"10.3390\/geriatrics5020040","volume":"5","author":"RL Young","year":"2020","unstructured":"Young RL, Smithard DG. The clinical frailty scale: Do staff agree? Geriatr Basel Switz. 2020;5:40.","journal-title":"Geriatr Basel Switz"},{"key":"2355_CR46","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1136\/emermed-2019-208633","volume":"38","author":"W Shrier","year":"2021","unstructured":"Shrier W, Dewar C, Parrella P, Hunt D, Hodgson LE. Agreement and predictive value of the Rockwood Clinical Frailty Scale at emergency department triage. Emerg Med J EMJ. 2021;38:868\u201373.","journal-title":"Emerg Med J EMJ"},{"key":"2355_CR47","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1111\/anae.14596","volume":"74","author":"RJ Pugh","year":"2019","unstructured":"Pugh RJ, Battle CE, Thorpe C, Lynch C, Williams JP, Campbell A, et al. Reliability of frailty assessment in the critically ill: a multicentre prospective observational study. Anaesthesia. 2019;74:758\u201364.","journal-title":"Anaesthesia"},{"key":"2355_CR48","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1093\/ageing\/afw039","volume":"45","author":"A Clegg","year":"2016","unstructured":"Clegg A, Bates C, Young J, Ryan R, Nichols L, Ann Teale E, et al. Development and validation of an electronic frailty index using routine primary care electronic health record data. Age Ageing. 2016;45:353\u201360.","journal-title":"Age Ageing"},{"key":"2355_CR49","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00005650-199801000-00004","volume":"36","author":"A Elixhauser","year":"1998","unstructured":"Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8\u201327.","journal-title":"Med Care"}],"container-title":["European Journal of Trauma and Emergency Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-023-02355-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00068-023-02355-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00068-023-02355-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T12:06:25Z","timestamp":1702901185000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00068-023-02355-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,29]]},"references-count":49,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["2355"],"URL":"https:\/\/doi.org\/10.1007\/s00068-023-02355-0","relation":{},"ISSN":["1863-9933","1863-9941"],"issn-type":[{"value":"1863-9933","type":"print"},{"value":"1863-9941","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,29]]},"assertion":[{"value":"5 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 August 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}