Perioperative medicine & outcomes
Frailty assessment tools and associated postoperative outcomes in older patients undergoing elective surgery: A prospective pilot study
Authors' conclusion
Approximately 40% of elderly surgical patients have abnormal PRISMA7, TUG, and CDT screening tests for frailty, and they are associated individually or in combination with increased risk of adverse postoperative outcomes.
Study context
- Population
- Patients ≥65 years undergoing preoperative evaluation for elective surgery
- Participants
- 99 patients
- Exposure
- Abnormal vs normal frailty screening
- Outcome
- Incidence of abnormal testing
Main finding
As reported in the abstract
Abnormal screening
Observational data: associations, not effects.
Secondary outcomes
| Outcome | Values | P value |
|---|---|---|
| Postoperative delirium, abnormal vs normal TUG | Abnormal TUG 19% · Normal TUG 3% | P = 0.011 |
| Postoperative delirium, abnormal vs normal CDT | Abnormal CDT 17% · Normal CDT 2% | P = 0.019 |
| Non-home discharge, abnormal PRISMA7 and TUG vs not | Abnormal PRISMA7 and TUG 38% · Comparator 17% | P = 0.029 |
| Postoperative delirium, abnormal TUG and CDT vs not | Abnormal TUG and CDT 25% · Comparator 3% | P = 0.006 |
| Any surgical complication, abnormal TUG and CDT vs not | Abnormal TUG and CDT 58% · Comparator 38% | P = 0.037 |
| Postoperative delirium, abnormal all three tools vs not | Abnormal all three 21% · Comparator 5% | P = 0.045 |
| Non-home discharge, abnormal all three tools vs not | Abnormal all three 42% · Comparator 18% | P = 0.034 |
Original publication
Frailty assessment tools and associated postoperative outcomes in older patients undergoing elective surgery: A prospective pilot study. Acta Anaesthesiol Scand. Published 9 November 2022. doi:10. 1111/ aas. 14162
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