| Frailty is associated with postoperative complications in older adults with medical problems. | |
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MedLine Citation:
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PMID: 18068828 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We sought to test whether frailty may be predictive of operative risk in older adults with medical problems. One hundred and twenty-five patients at least 70 years of age had a previously developed frailty screen, the Edmonton Frail Scale (EFS), administered at a pre-surgical clinic, prior to elective non-cardiac surgery. A blinded chart audit assessed for postoperative medical complications, length of stay and inability to be discharged home. The mean age of patients was 77 (range 70-92) and most (82%) underwent orthopedic procedures. Increasing frailty was associated with postoperative complications (p=0.02), increased length of hospitalization (p=0.004) and inability to be discharged home (p=0.01), independent of age. EFS scores of 3 or less were associated with a lower risk of having a complication (age-adjusted OR 0.27, 95% CI 0.09-0.80, likelihood ratio of 0.33) and a higher chance (80%) of being discharged home (p<0.02). EFS scores exceeding 7 were associated with increased complications (OR 5.02, 95% CI 1.55-16.25, likelihood ratio of 3.9) and a lower chance of being discharged home (40%, p<0.02). This study suggests that a frailty screen can refine risk estimates of postoperative complications in older adults undergoing elective non-cardiac surgery. |
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Authors:
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Monidipa Dasgupta; Darryl B Rolfson; Paul Stolee; Michael J Borrie; Mark Speechley |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2008-02-20 |
Journal Detail:
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Title: Archives of gerontology and geriatrics Volume: 48 ISSN: 1872-6976 ISO Abbreviation: Arch Gerontol Geriatr Publication Date: 2009 Jan-Feb |
Date Detail:
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Created Date: 2008-12-02 Completed Date: 2009-04-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8214379 Medline TA: Arch Gerontol Geriatr Country: Netherlands |
Other Details:
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Languages: eng Pagination: 78-83 Citation Subset: IM |
Affiliation:
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Division of Geriatric Medicine, Department of Medicine, Schulich School of Medicine, University of Western Ontario, Room A3-125, St. Josephs Healthcare Centre, 268 Grosvenor Road, London, Ontario N6A 4V2, Canada. monidipa.Dasgupta@sjhc.london.on.ca |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Comorbidity / trends Female Follow-Up Studies Frail Elderly* Humans Incidence Length of Stay Male Ontario / epidemiology Postoperative Complications / diagnosis, epidemiology*, prevention & control Preoperative Care / methods Prognosis Retrospective Studies Risk Factors Surgical Procedures, Elective / adverse effects* Survival Rate |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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