Perioperative medicine & outcomes
Evaluating prevalence and trajectory of functional disability in older surgical patients: An observational cohort study
Authors' conclusion
Patients with preoperative functional disability experienced greater postoperative improvement in functional disability than the No-disability group.
Study context
- Population
- Older patients aged ≥65 years undergoing non-cardiac surgery
- Participants
- 307 patients
- Exposure
- Preoperative functional disability vs no disability
- Functional Disabilityn = 133
- Outcome
- Prevalence and trajectory of functional disability exceeding patient-acceptable and clinically significant levels
- Follow-up
- Preoperatively and at 30, 90, and 180 days postoperatively
Methodological detailsmulticentre, remote assessments
- Multicentre
- Remote assessments
Main finding
As reported in the abstract
Preoperative functional disability · preoperatively
Exceeding a patient-acceptable level
133
43 %
Clinically significant, or at least moderate
42
14 %
Observational data: associations, not effects.
Further findings
Clinically important worsening in functional disability · 180 days postoperatively
Postoperative improvement in function · 90 and 180 days postoperatively
- Functional Disability group with significant improvement
- over 60 %
- Functional Disability group disability-free
- 40 %
- Greater improvement in Functional Disability than No-disability group
Risk factors for functional disability · 180 days
- Preoperative functional disability: nearly 6-fold higher odds
- Depression: nearly 4-fold higher odds
Original publication
Evaluating prevalence and trajectory of functional disability in older surgical patients: An observational cohort study. J Clin Anesth. Published 10 November 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →