Perioperative medicine & outcomes

Frailty Is Associated With Increased Care Dependence in Patients Following Major Vascular Surgery

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

Frail patients with PAD undergoing major vascular surgery are at significant risk of functional decline, necessitating a change in living situation to meet their increased care needs.

Study context

Population
Patients with PAD undergoing major vascular surgery at a tertiary centre in Perth, Western Australia, in 2022
Participants
79 patients
Exposure
Frail vs not frail
Outcome
Increased care dependence (change in living situation)
Methodological detailssingle-centre, Baseline Clinical Frailty Scale (CFS) assigned retrospectively
  • Single-centre
  • Baseline CFS assigned retrospectively

Main finding

As reported in the abstract

Change in living situation (logistic regression, age-corrected)
Corrected for age
Odds ratio (CI)P value
Baseline CFS (lower)
0.19(0.04–0.84)
P = 0.028
Discharge CFS
34.00(3.88–298.42)
P = 0.001

Observational data: associations, not effects.

Secondary outcomes

Frailty score at discharge

Baseline frailty associated with higher frailty score at discharge
P = 0.001

Frailty score at 6 months

Higher frailty score persisted at 6 months
P = 0.001

ASA class, sex, age

No difference between groups

30-day mortality and in-hospital complications

No difference between groups

Original publication

Frailty Is Associated With Increased Care Dependence in Patients Following Major Vascular Surgery. J Cardiothorac Vasc Anesth. Published 7 September 2024. doi:10.1053/j.jvca.2024.08.028

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.