{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T14:02:05Z","timestamp":1789567325833,"version":"build-2803163510"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Understanding predictors of prolonged hospitalization in elderly colorectal trauma patients is crucial for resource allocation and prognostic counseling, yet the relative contributions of injury severity, surgical complexity, and patient frailty remain unclear. This study aims to identify factors associated with length of hospital stay in elderly patients with blunt colorectal trauma. This is a retrospective cohort study using the National Trauma Data Bank.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Patients aged \u226565 years with blunt colorectal trauma who survived were included. The primary outcome was hospital length of stay (LOS), analyzed as continuous and binary variables (prolonged vs. normal, defined as \u226575\n                      <jats:sup>th<\/jats:sup>\n                      percentile). Covariates included age, frailty status, sex, injury severity score (ISS), mechanism of injury, and surgical intervention. Multivariable linear and logistic regression analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 287 elderly survivors (median age 72.0 years; 60.3% male), the median LOS was 12.0 days. Frailty distribution: 34.8% nonfrail, 40.1% prefrail, 25.1% frail. Motor vehicle accidents predominated (58.9%); 67.9% underwent surgery. ISS was the strongest predictor of continuous LOS (\u03b2 =0.46; 95% confidence interval [CI], 0.29\u20130.63;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and prolonged stay (odds ratio = 1.08; 95% CI, 1.05\u20131.11;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Major colorectal surgery increased LOS (\u03b2 = 6.71; 95% CI, 2.76\u201310.67;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Frailty status showed no significant association with either outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In elderly blunt colorectal trauma survivors, injury severity and surgical complexity were primary determinants of hospital LOS, while frailty status did not independently predict prolonged hospitalization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jets.jets_135_25","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:02:04Z","timestamp":1789563724000},"page":"138-143","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Prolonged Hospital Stay in Elderly Blunt Colorectal Trauma: A National Trauma Data Bank Analysis"],"prefix":"10.4103","volume":"19","author":[{"given":"Musaed","family":"Rayzah","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"R2-20260916","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.suc.2023.09.010","article-title":"Management of the geriatric trauma patient","volume":"104","author":"Lundy","year":"2024","journal-title":"Surg Clin North Am"},{"key":"R4-20260916","article-title":"Analysis of prognosis and medical resource utilization in elderly patients with trauma: A retrospective cohort study in one trauma center","author":"Kang","year":"2024","journal-title":"J Chin Med Assoc"},{"key":"R6-20260916","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s40137-017-0193-2","article-title":"Frailty in trauma patients: An emerging geriatric syndrome","volume":"5","author":"Khan","year":"2017","journal-title":"Curr Surg Rep"},{"key":"R7-20260916","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1001\/jamasurg.2014.296","article-title":"Superiority of frailty over age in predicting outcomes among geriatric trauma patients: A prospective analysis","volume":"149","author":"Joseph","year":"2014","journal-title":"JAMA Surg"},{"key":"R8-20260916","doi-asserted-by":"crossref","first-page":"afad073","DOI":"10.1093\/ageing\/afad073","article-title":"Does frailty status predict outcome in major trauma in older people? A systematic review and meta-analysis","volume":"52","author":"Alqarni","year":"2023","journal-title":"Age Ageing"},{"key":"R9-20260916","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/TA.0000000000003817","article-title":"Prospective validation and application of the trauma-specific frailty index: Results of an American Association for the Surgery of trauma multi-institutional observational trial","volume":"94","author":"Joseph","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"R10-20260916","doi-asserted-by":"crossref","first-page":"111265","DOI":"10.1016\/j.injury.2023.111265","article-title":"Frailty is associated with long-term outcomes in older trauma patients: A prospective cohort study","volume":"55","author":"Ibitoye","year":"2024","journal-title":"Injury"},{"key":"R11-20260916","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1097\/00007611-199002000-00010","article-title":"Trauma in the elderly: Determinants of outcome","volume":"83","author":"Smith","year":"1990","journal-title":"South Med J"},{"key":"R12-20260916","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1007\/s00068-020-01595-8","article-title":"Age itself or age-associated comorbidities? A nationwide analysis of outcomes of geriatric trauma","volume":"48","author":"Fu","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R13-20260916","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1097\/TA.0000000000002583","article-title":"The impact of frailty on posttraumatic outcomes in older trauma patients: A systematic review and meta-analysis","volume":"88","author":"Zhao","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"key":"R14-20260916","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s00068-024-02742-1","article-title":"Predictors of prolonged hospitalization among geriatric trauma patients using the modified 5-item frailty index in a Middle Eastern trauma center: An 11-year retrospective study","volume":"51","author":"Abdelrahman","year":"2025","journal-title":"Eur J Trauma Emerg Surg"},{"key":"R15-20260916","doi-asserted-by":"crossref","first-page":"e114","DOI":"10.1177\/000313481608200506","article-title":"Trends in elderly trauma revisited: Has management of elders with blunt traumatic injury improved?","volume":"82","author":"Micham","year":"2016","journal-title":"Am Surg"},{"key":"R16-20260916","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1097\/TA.0000000000004256","article-title":"Does frailty impact failure-to-rescue in geriatric trauma patients?","volume":"96","author":"Kojima","year":"2024","journal-title":"J Trauma Acute Care Surg"},{"key":"R17-20260916","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/TA.0000000000001931","article-title":"Frailty screening and a frailty pathway decrease length of stay, loss of independence, and 30-day readmission rates in frail geriatric trauma and emergency general surgery patients","volume":"85","author":"Engelhardt","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"R18-20260916","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1111\/1475-6773.00041","article-title":"Concurrent prediction of hospital mortality and length of stay from risk factors on admission","volume":"37","author":"Clark","year":"2002","journal-title":"Health Serv Res"},{"key":"R19-20260916","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1111\/j.1553-2712.2011.01083.x","article-title":"Trauma registries: History, logistics, limitations, and contributions to emergency medicine research","volume":"18","author":"Zehtabchi","year":"2011","journal-title":"Acad Emerg Med"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_135_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:02:06Z","timestamp":1789563726000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_135_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_135_25","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-08-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}