Mp03-03 Frailty in Men Undergoing Prosthetic Urologic Procedures Associates With Post-Operative Sepsis, Cardiovascular Complications, and Discharge to Continued Care

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Male Incontinence (MP03)1 May 2024MP03-03 FRAILTY IN MEN UNDERGOING PROSTHETIC UROLOGIC PROCEDURES ASSOCIATES WITH POST-OPERATIVE SEPSIS, CARDIOVASCULAR COMPLICATIONS, AND DISCHARGE TO CONTINUED CARE Umar Ghaffar, Nikit Venishetty, Behzad Abbasi, Adrian Fernandez, Robert Pearce, Nizar Hakam, Kevin D. Li, Hiren Patel, and Benjamin N. Breyer Umar GhaffarUmar Ghaffar , Nikit VenishettyNikit Venishetty , Behzad AbbasiBehzad Abbasi , Adrian FernandezAdrian Fernandez , Robert PearceRobert Pearce , Nizar HakamNizar Hakam , Kevin D. LiKevin D. Li , Hiren PatelHiren Patel , and Benjamin N. BreyerBenjamin N. Breyer View All Author Informationhttps://doi.org/10.1097/01.JU.0001009488.55564.85.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Frailty has yet to be explored as a risk factor for urologic prosthetics post-operative complications. Our objective is to assess the impact of modified frailty index-5 (mFI-5) on post-surgery outcomes in patients undergoing urologic prosthetic procedures. METHODS: National Surgical Quality Improvement Program (NSQIP) 2015-2020 were reviewed. Male patients undergoing artificial urinary sphincter (AUS), urethral sling procedures and penile prosthesis (PP) were identified using CPT codes. The mFI-5 was calculated by assigning one point for each comorbidity present: diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disease, and functionally dependent health status. Outcomes included morbidity (presence of any complication), mortality, Clavien grade 4/5 complications, prolonged length of stay (PLOS), operative time (OT), readmission, reoperation, discharge to continued care (DCC) and healthcare resource utilization (HU) (composite of PLOS, readmissions, DCC and reoperation). RESULTS: 3,608 patients (AUS 63.3%; Sling 25.7%; penile prosthesis 11.0%) were identified. Mean age was 69.2, and 21.7% of patients were very frail (mFI-5 ≥ 2). Frailty (mFI-5≥2 vs <2) was significantly associated with post-operative sepsis (OR 2.26; 1.02-5.00; p=0.044), cardiovascular complications (OR 4.33; 1.32-14.2, p=0.016), DCC (OR 6.5; 2.18-19.5; p<0.001) and OT (OR 1.01; 1.01-1.01; p<0.001). Frailty was not associated with overall morbidity, PLOS, reoperation, healthcare utilization, Clavien Grade 4/5 complications or mortality. CONCLUSIONS: Our study shows frailty in adults receiving urologic protheses is associated with greater odds of post-operative sepsis and cardiovascular complications. Additional research is warranted to investigate interventions aimed at optimizing the well-being of frail patients. Download PPT Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e22 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Umar Ghaffar More articles by this author Nikit Venishetty More articles by this author Behzad Abbasi More articles by this author Adrian Fernandez More articles by this author Robert Pearce More articles by this author Nizar Hakam More articles by this author Kevin D. Li More articles by this author Hiren Patel More articles by this author Benjamin N. Breyer More articles by this author Expand All Advertisement PDF downloadLoading ...