Pecheva M, Phillips M, Hull P, et al. - Researchers sought to conduct the first study particularly investigating the influence of frailty on outcomes in older patients who experience major trauma (Injury Severity Score (ISS) greater than 15). For this retrospective cohort review, they used the national trauma registry data (Trauma Audit and Research Network) and an institutional database for all patients aged 60 years or older with an ISS > 15 who underwent treatment at the regional Major Trauma Centre from 2014 to 2017 following major trauma. Mechanism of injury, which was most common among these cases, was fall from a height less than 2m (57.4%). Assessment of frailty using the modified index (mFI) revealed a low frailty score in 412 (51.3%) patients, an intermediate frailty score in 280 (35%) and high frailty score 110 (14%). Findings revealed high frailty to be correlated with high mortality rates, at both hospital discharge and 1 year post injury, as well as with a higher rate of serious complications following polytrauma including unplanned intubation, infection and renal failure. were More frequent discharge to an unfavourable discharge destinations was reported among intermediate and high frailty patients . This study yields valuable data for future healthcare provision for Major Trauma Centres in the setting of polytrauma in elderly patients.