Key result
Frailty is linked to higher mortality, readmissions, and longer stays in older urological surgery patients.
Why the study?
Frailty is an emerging geriatric syndrome and more than half of all urologic procedures are performed in patients aged 65 or older, prompting evaluation of its prevalence and correlation with perioperative outcomes.
Does frailty correlate with worse postoperative outcomes in patients aged above 60 years undergoing urological surgeries?
Observational (n=262)
No
Does frailty correlate with worse postoperative outcomes in patients aged above 60 years undergoing urological surgeries?
Frailty is highly prevalent in older patients undergoing urological surgeries, especially those with CKD, and is associated with increased morbidity, mortality, and readmissions.
Supports frailty screening in older urological surgery patients; hypothesis-generating for intervention trials.
Background and Aims: Frailty is an emerging geriatric syndrome. More than half of all urologic procedures are performed in patient’s ≥ 65 of age. The aim of study was, 1. To determine the prevelance of frailty in patients undergoing urological surgeries 2. To determine correlation between frailty and perioperative outcomes. Methods: All patients aged above 60 years undergoing urological surgeries in our centre were included in the study between January 2022 and December 2022. Frailty assessment was done using 11 point modified frailty index score (mFI ) preoperatively. Patients with score of 3 and above were considered frail while patients with < 3 were considered non frail. Glomerular filtration rate (GFR) was calculated and patients with GFR < 60 ml/min/1.72sqm were considered as Chronic kidney disease (CKD). Postoperative surgical and medical complications, mortality and readmissions within 30 days were recorded. Surgical complications were graded using Clavien-Dindo ( CD) classification. Results: A total of 262 patients were recruited of which 47.7%(125/262) were frail. Incidence of frailty in CKD was 60.58%.Frailty was significantly associated with age ( P =0.041), CKD ( P =0.0001), ASAPS III and above ( P =0.0001), serum albumin ( P =0.0001). Major complications CD III and above were seen in 30(11.45%) patients. CKD and ASA PS III and above had highest odds of developing major complications. Higher incidence of readmissions, longer hospital stay and mortality were seen in frail patients. Conclusion: Incidence of frailty is higher in patients undergoing urologic surgeries especially in patients with CKD. Hence preoperative assessment of frailty and optimization of modifiable risk factors will help reduce morbidity and mortality in this subset of patients.
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Deo et al. (2026) conducted an observational in Urological surgeries (n=262). Frailty vs. Non-frail was evaluated on Postoperative surgical and medical complications, mortality and readmissions within 30 days. Frailty was present in 47.7% of patients aged >60 undergoing urological surgeries and was associated with a higher incidence of readmissions, longer hospital stay, and mortality.
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