Perioperative medicine & outcomes
Frailty Is Associated With Increased Care Dependence in Patients Following Major Vascular Surgery
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)
Odds ratio (CI)P value
Baseline CFS (lower)
0.19(0.04–0.84)
P = 0.028Discharge CFS
34.00(3.88–298.42)
P = 0.001Observational 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
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