Frailty and functional decline after emergency abdominal surgery in the elderly: a prospective cohort study

• DOI: 10.1186/s13017-019-0280-z
• Publication Date: 2019-12-30T18:02:22Z
• Authors: Hwee Leong Tan; Shermain Theng Xi...; Nivedita Vikas Na...; Shin Yuh Ang; Dennis Chuen Chai...; Ting Hway Wong
• Keywords: Univariate analysis

Abstract Background Frailty has been associated with an increased risk of adverse postoperative outcomes in elderly patients. We examined the impact preoperative frailty on loss functional independence following emergency abdominal surgery elderly. Methods This prospective cohort study was performed at a tertiary hospital, enrolling patients 65 years age and above who underwent from June 2016 to February 2018. Premorbid variables, perioperative characteristics were collected. Two measures compared this study—the Modified Fried’s Criteria (mFFC) Index-11 (mFI-11). Patients followed-up for 1 year. Results A total 109 prospectively recruited. At baseline, 101 (92.7%) functionally independent, whom seven (6.9%) had year; 28 (25.7%) 81 (74.3%) frail non-frail (by mFFC) respectively. On univariate analysis, age, Charlson Comorbidity Index (univariate OR 13.00, 95% CI 2.21–76.63, p < 0.01) significantly However, frailty, as assessed by mFI-11, showed weaker correlation than mFFC 4.42, 0.84–23.12, = 0.06). multivariable only premorbid remained statistically significant (OR 15.63, 2.12–111.11, 0.01). Conclusions The is useful screening amongst undergoing predictor Including discussions caregivers important patient-centric surgical care. Early recognition at-risk group could help discharge planning priority post-discharge support should be considered.