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Efficacy of preoperative frailty assessment in patients with gastrointestinal disease
Author(s) -
Kameyama Hitoshi,
Sakata Jun,
Hanyu Takaaki,
Ichikawa Hiroshi,
Nakano Masato,
Nagahashi Masayuki,
Shimada Yoshifumi,
Kobayashi Takashi,
Wakai Toshifumi
Publication year - 2021
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.14134
Subject(s) - medicine , incidence (geometry) , disease , complication , abdominal surgery , surgery , physics , optics
Aim The role of preoperative frailty assessment in patients with gastrointestinal (GI) disease remains unclear. This study aimed to clarify the relationship between frailty and postoperative outcomes in patients with GI disease. Methods This study investigated 42 patients (aged ≥65 years) with GI disease who underwent abdominal surgery. The frailty status was analyzed using the Japanese version of the Cardiovascular Health Study criteria. We also investigated postoperative outcomes. Results Of the 42 patients, seven (16.7%) were robust, 24 (57.1%) were prefrail and 11 (26.2%) were frail. Postoperative complications were observed in 45.5% and 63.6% of prefrail and frail patients, respectively, whereas no complications were found in robust patients ( P = 0.026). The median hospital stay was 15, 19.5 and 27 days in robust, prefrail and frail patients, respectively ( P < 0.01). Conclusion Preoperative frailty status based on the Japanese version of the Cardiovascular Health Study criteria is associated with postoperative complication incidence and hospital stay extension in patients with GI disease. Geriatr Gerontol Int 2021; ••: ••–•• .