Modified frailty index combined with surgical Apgar score for predicting postoperative complications in elderly patients undergoing laparoscopic radical resection of colorectal cancer
10.12007/j.issn.0258-4646.2024.07.007
- VernacularTitle:改良衰弱指数联合外科Apgar评分对腹腔镜结直肠癌根治术老年患者术后并发症的预测效能
- Author:
Xinxia YANG
1
;
Xia XU
;
Dongdong CHEN
Author Information
1. 宁波市医疗中心李惠利医院麻醉科,浙江 宁波 315100
- Keywords:
frailty;
Apgar score;
postoperative complication
- From:
Journal of China Medical University
2024;53(7):616-620
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of an 11-item modified frailty index(mFI-11)combined with surgical Apgar score(SAS)for predicting postoperative complications in elderly patients with colorectal cancer undergoing laparoscopic radical resection.Methods We enrolled a total of 481 elderly patients(aged≥65 years)undergoing laparoscopic radical resection of colorectal cancer.We performed a frailty assessment preoperatively using mFI-11 and calculated the SAS based on the lowest mean arterial pressure and heart rate as well as blood loss during surgery.Finally,we compared the clinical data,mFI-11,and SAS of patients with and without post-operative complications,and then analyzed their relationship with the postoperative complications and predictive values.Results The mFI-11,SAS,and operation time independently correlated with postoperative complication occurrence(P<0.05).The AUC of post-operative complications obtained using the mFI-11,SAS,and operation time were 0.805,0.800,and 0.610,respectively.The AUC of the postoperative complications derived from mFI-11 combined with SAS was 0.902.Conclusion In elderly patients undergoing laparo-scopic radical resection of colorectal cancer,the mFI-11,SAS,and operation time significantly correlated with postoperative complication occurrence.The combination of mFI-11 and SAS displayed a higher predictive power for postoperative complications compared to the use of a single indicator,which it could provide a reliable basis for early clinical identification of complications and reduce their occurrence.
