Study on the correlation between frailty of elderly patients and short-term prognosis after abdominal surgery
10.3760/cma.j.issn.1672-7088.2018.36.006
- VernacularTitle:老年衰弱与腹部外科术后短期预后的相关性研究
- Author:
Ting CAO
1
;
Yue QUAN
;
Jinjin ZHANG
;
Dan LYU
;
Yin LI
;
Li TIAN
Author Information
1. 300170,天津医科大学三中心临床学院
- Keywords:
Frailty;
Abdominal;
Surgery;
Prognosis
- From:
Chinese Journal of Practical Nursing
2018;34(36):2823-2827
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the correlation between preoperative frailty and short-term prognosis after abdominal surgery, and to explore its predictive value. Methods A total of 156 elderly patients undergoing abdominal surgery from July 2017 to December 2017 in Tianjin Third Center Hospital were prospectively observed and classified into non-frail group, pre-frail group and frail group according to the Fried's frailty phenotype before surgery. The postoperative hospital stay and incidence of adverse outcomes were compared among the three groups, and the effect of frailty on the risk prediction model of the American Society of Anesthesiology (ASA) was analyzed. Results The postoperative hospital stay and the incidence of adverse outcomes in the three groups were statistically significant (P<0.05). Negative binomial regression analysis found that preoperative frailty was associated with prolonged postoperative hospital stay (pre-frail incidence rate ratio was 1.428 (95% CI : 1.250-1.974);frail incidence rate ratio was 3.692 (95% CI : 1.282-4.230) .Logistic regression analysis found that preoperative frailty was associated with an increased risk of postoperative adverse outcomes (pre-frail: OR=2.303(95% CI : 1.810-4.127); frail: OR=3.512 (95% CI : 2.054-5.689)). Frailty increased the diagnostic value of the ASA risk prediction model (Z=3.718, P<0.01). Conclusions Frailty of elderly patients is an important predictor of short-term prognosis of abdominal surgery, and it increases the diagnostic value of ASA risk model. The preoperative frailty assessment of elderly patients undergoing abdominal surgery is helpful for preoperative clinical decision-making and prognosis evaluation.
