Key result
Preadmission frailty independently and dose-dependently predicted 6-month readmission or death in older emergency abdominal surgery patients, with frail patients having an adjusted OR of 3.27 compared to well patients.
Why the study?
Does frailty increase the risk of readmission or death in older patients undergoing emergency abdominal surgery?
Population
308 patients aged ≥65 years who underwent emergency abdominal surgery at 2 tertiary care centres and needed…
Comparison
Vulnerable or Frail status vs Well status (Clinical Frailty Scale score 1-2)
Design
Cohort
Follow-up
6 months
Authors
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Frailty assessment identifies older emergency surgery patients at elevated 30-day readmission/death risk; leaves open whether targeted interventions improve outcomes.
Cohort (n=308)
Yes
Does frailty increase the risk of readmission or death in older patients undergoing emergency abdominal surgery?
Odds Ratio: 3.27 (95% CI 1.32–8.12)
Absolute Event Rate: 54.4% vs 15.3%
p-value: p=<0.001
Frailty is highly prevalent in older patients undergoing emergency abdominal surgery and independently predicts a higher risk of readmission or death up to 6 months post-discharge.
Li et al. (2018) conducted a cohort in Emergency abdominal surgery in older adults (n=308). Preadmission frailty vs. Well patients (Clinical Frailty Scale score 1-2) was evaluated on Composite all-cause readmission or death at 6 months (OR 3.27, 95% CI 1.32-8.12, p=<0.001). Preadmission frailty independently and dose-dependently predicted 6-month readmission or death in older emergency abdominal surgery patients, with frail patients having an adjusted OR of 3.27 compared to well patients.
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