Perioperative medicine & outcomes

Frailty assessment tools and associated postoperative outcomes in older patients undergoing elective surgery: A prospective pilot study

Acta Anaesthesiol ScandPublished 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

OutcomeValuesP value
Postoperative delirium, abnormal vs normal TUGAbnormal TUG 19% · Normal TUG 3%P = 0.011
Postoperative delirium, abnormal vs normal CDTAbnormal CDT 17% · Normal CDT 2%P = 0.019
Non-home discharge, abnormal PRISMA7 and TUG vs notAbnormal PRISMA7 and TUG 38% · Comparator 17%P = 0.029
Postoperative delirium, abnormal TUG and CDT vs notAbnormal TUG and CDT 25% · Comparator 3%P = 0.006
Any surgical complication, abnormal TUG and CDT vs notAbnormal TUG and CDT 58% · Comparator 38%P = 0.037
Postoperative delirium, abnormal all three tools vs notAbnormal all three 21% · Comparator 5%P = 0.045
Non-home discharge, abnormal all three tools vs notAbnormal 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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