Perioperative medicine & outcomes

SNAP-3: characteristics of specific subgroups of older patients undergoing surgery in the UK

Br J AnaesthPublished Prospective observational cohort study

Authors' conclusion

This snapshot of surgical patients in the UK highlights the high prevalence of frailty, postoperative morbidity, and mortality in key surgical subgroups

Study context

Population
Patients aged ≥60 yr undergoing daycase, inpatient, elective or emergency surgery (minor or superficial excluded) during 5 days in March 2022 across 214 UK hospitals7,134 analysed
Participants
7,821 patients
Exposure
Specific subgroups of older surgical patients: hip fracture surgery, aged ≥85 yr, emergency vs elective, orthopaedic
Outcome
Frailty prevalence by subgroup
Methodological detailsmulticentre, subgroups defined a priori, descriptive statistics
  • Multicentre
  • Subgroups defined a priori
  • Descriptive statistics

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeValues
Postoperative LOSEmergency median 5 (IQR 1–13) days · Elective median 1 (IQR 0–3) days
DeliriumEmergency 16.3% · Elective 2.7%
Postoperative morbidityHip fracture surgery 85.3% · Aged ≥85 yr 49.1% · Emergency 49.5%
Mortality · 30 daysHip fracture surgery 5.0% · Aged ≥85 yr 3.9% · Emergency 3.0%
  • Delirium: denominators: 2138; 4922
  • Postoperative morbidity: denominators: 484; 747; 2138
  • Mortality: denominators: 484; 741; 2124

Original publication

SNAP-3: characteristics of specific subgroups of older patients undergoing surgery in the UK. Br J Anaesth. Published 4 September 2025. doi:10.1016/j.bja.2025.07.050

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