Preoperative Frailty and Quality of Life as Predictors of Postoperative Complications

• DOI: 10.1097/sla.0b013e318214bce7
• Publication Date: 2011-03-16T07:12:32Z
• Authors: Adrienne Saxton; Vic Velanovich
• Keywords: Affect

Prediction of postoperative complications has been based on assessing comorbidities. However, the evaluation these comorbidities not consistently identified those at higher risk complications, primarily due to inability assess how affect functional status. We hypothesized that preoperative measures patients' health status can predict complications.A sample patients undergoing general surgical operations were reviewed for age, gender, diagnosis (for severity), complexity), number comorbidities, frailty (as determined by Canadian Study Health and Ageing Frailty Index), quality life SF-36), occurrence severity complications. Data analyzed linear multiple logistic regression analyses, Mann-Whitney U test.Two hundred twenty-six evaluated, average age 61 ± 13 years, 47% male patients. Index (FI) correlated with (r = 0.61, P < 0.001), all domains SF-36. Patients who had median FI than would did [0.075 (IQR 0.046-0.118) vs. 0.059 0.045-0.089), 0.007]. Multiple analysis demonstrated operation complexity, FI, role-emotional domain associated increased whereas bodily pain was a lower complications.This study demonstrates as measured SF-36 may help identify In our ageing population, use such in better patient selection.