{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:38:30Z","timestamp":1777448310813,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>The 5-factor modified frailty index (mFI-5) has been used as a prognostic tool to identify patients at higher risk for complications and mortality but has not been used to assess the relationship between frailty and extent of injury following ground-level falls. The aim of this study was to determine if mFI-5 is associated with increased risk for combined femur-humerus fractures compared to isolated femur fractures in geriatric patients. A retrospective analysis of 2017-2018 American College of Surgeons Trauma Quality Improvement Program (ACS-TQIP) data identified 190\u2009836 patients with femur fractures and 5054 patients with combined femur-humerus fractures. In multivariate analysis, gender was the only statistically significant predictor for risk of combined vs isolated fractures (OR 1.69, 95% CI [1.65, 1.74], P &lt; .001). While outcome data for the mFI-5 repeatedly shows increased risk for adverse events, this tool may over-estimate the disease specific risk factors rather than the overall frailty state of the patient and diminish its predictive power.<\/jats:p>","DOI":"10.1177\/00031348231173967","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T20:22:45Z","timestamp":1684959765000},"page":"3924-3927","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gender-Based Frailty in Multiple Orthopedic Fractures"],"prefix":"10.1177","volume":"89","author":[{"given":"Michelle E.","family":"Gary","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Illinois College of Medicine, Peoria, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cindy A.","family":"Limanto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Trauma Services, OSF Healthcare St. Francis Medical Center, Peoria, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghulam H.","family":"Saadat","sequence":"additional","affiliation":[{"name":"Department of Trauma and Burn Surgery, John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih Y.","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley J.","family":"Phillips","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Illinois College of Medicine, Peoria, IL, USA"},{"name":"Department of Surgery, Trauma Services, OSF Healthcare St. Francis Medical Center, Peoria, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura R.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Illinois College of Medicine, Peoria, IL, USA"},{"name":"Department of Surgery, Trauma Services, OSF Healthcare St. Francis Medical Center, Peoria, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faran","family":"Bokhari","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Illinois College of Medicine, Peoria, IL, USA"},{"name":"Department of Surgery, Trauma Services, OSF Healthcare St. Francis Medical Center, Peoria, IL, USA"},{"name":"Department of Trauma and Burn Surgery, John H. Stroger Jr. Hospital of Cook County, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"bibr1-00031348231173967","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.RVW.21.00065"},{"key":"bibr2-00031348231173967","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001455"},{"key":"bibr3-00031348231173967","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06637-3"},{"key":"bibr4-00031348231173967","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/62.7.744"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231173967","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231173967","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231173967","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:36Z","timestamp":1777379856000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231173967"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,24]]},"references-count":4,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1177\/00031348231173967"],"URL":"https:\/\/doi.org\/10.1177\/00031348231173967","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,24]]}}}