The Emergency Surgery Frailty Index (EmSFI) in Elderly Patients with Acute Appendicitis: An External Validation of Prognostic Score

• DOI: 10.1007/s00268-023-06975-w
• Publication Date: 2023-03-22T15:11:13Z
• Authors: Daniele Fusario; Alessandro Neri; Ludovico Carbone; Luca Resca; Luigi Marano; Giulia Gassi; Natale Calomino; Luigi Verre; Franco Roviello; Daniele Marrelli
• Keywords: Vascular surgery; Cardiothoracic surgery

Abstract Background Identification of reliable risk‐stratification tools is critical for surgical decision making, particularly in frail and elderly. The aim the study to validate Emergency Surgery Frailty Index (EmSFI), over 65 years old patients operated on acute appendicitis. Methods An observational was conducted enrolling elderly with diagnosis appendicitis who underwent emergency appendicectomy or right colectomy, between 2016 2021. All were treated according last SIFIPAC/WSES/SICG/SIMEU guidelines. Results Overall, 61 analyzed. Complication rate higher second EmSFI risk Class. Moreover, ROC analyses identified 3 as best cutoff value predicting adverse postoperative events. oldest patients—over 80 years—(42.9 vs 22.5%; p 0.05) mainly related medical complications (42.9 12.5%, 0.007). However, intestinal obstruction, peri‐appendicular abscess preoperative CT, peritonitis a longer duration surgery are increased group under years. Conclusion score results valid prognostic marker frailty status, it may support surgeon setting Patients aged older have complications, independent from those factors which relate morbidity younger patients. Age alone not indicator real risk, but must encourage adoption multidisciplinary collaborative models care this