Diagnosis of Senile Asthenia Using the Edmonton Frail and Frailty Phenotype Questionnaire in Patients With Acute Cholecystitis

Summary. About 80 million surgical interventions are performed annually in Europe, and according to the observations of the National Centre for Statistics of Germany, about a third of them are performed in patients over 65 years of age. The syndrome of senile asthenia is of particular concern as one of the factors influencing the general condition of the patient and the course of the perioperative period. Objective: to compare the effectiveness of the diagnosis of senile asthenia using the Edmonton Frail and Frailty Phenotype Questionnaire scales in patients with emergency abdominal surgical pathology. Materials and methods. To compare the effectiveness of the diagnosis of senile asthenia using the Edmonton Frail and Frailty Phenotype Questionnaire scales in emergency abdominal surgery, we analysed the results of treatment of 80 (100.0%) elderly and senile patients with acute cholecystitis in the setting of cholelithiasis. Results and discussion. The syndrome of senile asthenia has a great impact on the perioperative period. Early detection of the syndrome with the help of scales allows modifying perioperative treatment and reducing the number of postoperative complications in this group of patients. Therefore, the definition of a scale that can be used to quickly and accurately assess the syndrome of senile asthenia is of great importance for emergency surgical care of elderly and senile patients. Conclusions. The use of scales for the assessment of senile asthenia allows predicting the course of the perioperative period in patients with emergency surgical pathology.