作者
Bellal Joseph, Bardiya Zangbar, Viraj Pandit, Mindy Fain, Martha Jane Mohler, Narong Kulvatunyou, Tahereh Orouji Jokar, Terence O'Keeffe, Randal S Friese, Peter Rhee
发表日期
2016/5/1
期刊
Journal of the American College of Surgeons
卷号
222
期号
5
页码范围
805-813
出版商
No longer published by Elsevier
简介
Background
Assessment of operative risk in geriatric patients undergoing emergency general surgery (EGS) is challenging. Frailty is an established measure for risk assessment in elective surgical cases. Emerging literature suggests the superiority of frailty measurements to chronological age in predicting outcomes. The aim of this study was to assess the outcomes in elderly patients undergoing EGS using an established Rockwood frailty index.
Study Design
We prospectively measured preadmission frailty in all geriatric (aged 65 years and older) patients undergoing EGS at our institution during a 2-year period. Frailty index (FI) was calculated using the modified 50-variable Rockwood Preadmission FI. Frail patients were defined by FI ≥ 0.25. Outcomes measures were in-hospital complications, development of major complications, and mortality. Multivariate regression analysis was performed.
Results
A total of 220 …
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B Joseph, B Zangbar, V Pandit, M Fain, MJ Mohler… - Journal of the American College of Surgeons, 2016