Perioperative medicine & outcomes
Attributable Perioperative Cost of Frailty after Major, Elective Noncardiac Surgery: A Population-based Cohort Study
Authors' conclusion
For patients with preoperative frailty having elective surgery, the authors estimate that attributable costs are increased 1.5-fold in the year after major, elective noncardiac surgery.
Study context
- Population
- Patients 66 yr or older having major, elective noncardiac surgery, Ontario, Canada, April 1, 2012 to March 31, 2018
- Participants
- 171,576 patients
- Exposure
- Preoperative frailty vs no frailty
- Frailtyn = 23,219
- Outcome
- Total health system costs (direct and indirect)
- Follow-up
- 1 yr after surgery
Methodological detailslinked health data, multidimensional frailty index
- Linked health data
- Multidimensional frailty index
Main finding
As reported in the abstract
Total health system costs · 1 yr
Frailty vs No frailtyRatio of means (95% CI)
Adjusted for confounders; absolute cost increase $11,828 Canadian dollar
1.53(1.51–1.56)
Unadjusted
1.79(1.76–1.83)
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Ratio of means (95% CI) | |
|---|---|---|
| Total costs, additional adjustment for comorbidities (sensitivity analysis) | 1.24 (1.22–1.26) | |
| 0.512Ratio of means (log scale) |
Contributors to total costs
- Frailty most strongly associated with increased postacute care costs
Original publication
Attributable Perioperative Cost of Frailty after Major, Elective Noncardiac Surgery: A Population-based Cohort Study. Anesthesiology. Published 5 May 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →