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ASSOCIATION BETWEEN FRAILTY AND CLINICAL OUTCOMES IN OLDER PATIENTS UNDERGOING SURGERY
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Abstract
Background: Older adults are a highly heterogeneous group with variable health and functional life courses. Beside, Older patients are undergoing surgery in increasing numbers and frailty is a key risk factor associated with higher rates of complications and mortality, longer hospital stays, and functional impairment. Objectives: To assess the frailty and the association between fraitly and Clinical outcomes in older patients undergoing surgery. Methods: cross-sectional study, 322 patients 60 years old or older were undergoing surgery in the Department general surgery,Hepato-biliary-Pancreatic Department,thoracic surgery Department at Bach Mai Hospital, we surveyed the weakened state according to Fried's criteria.We recorded the postoperative outcomes, defined complications and death, occurring within 30 days after surgery. Results: Of the 322 older patients undergoing elective surgery, 110 patients had fraitly, accounting for 34,16%. Within 30 days after surgery, 101 patients had complications and mortality, accounting for 31,4%. The rate of postoperative outcomes was significantly higher in frail group (57,8%) as compared to the non-frail group (17,2%), p <0.001. Conclusions: Frailty is a frequent syndrome in the perioperative setting and significantly increased complicative postoperation. So a routine frailty assessment is implemented.
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Keywords
elderly, frailty, postoperative complications
References
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