June 3, 2014Journal of the American College of SurgeonsOpen Access

Can Routine Preoperative Data Predict Adverse Outcomes in the Elderly? Development and Validation of a Simple Risk Model Incorporating a Chart-Derived Frailty Score

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Why the study?

Can routine preoperative data predict 30-day morbidity and mortality in elderly patients undergoing elective lower gastrointestinal surgery?

Population

76,106 patients aged 65 years and older who underwent elective lower gastrointestinal surgery, identified…

Design

Cohort

Follow-up

30-day

Authors

LALevana G. AmrockSociety for Neuroscience MNMark D. NeumanRutgers, The State University of New Jersey HLHung‐Mo LinYale New Haven Hospital

Discussion

Member takes

Implication

May aid preoperative risk stratification in elderly elective lower GI surgery; leaves open prospective validation against dedicated frailty tools.

Structured PICO

Can routine preoperative data predict 30-day morbidity and mortality in elderly patients undergoing elective lower gastrointestinal surgery?

Population

76,106 patients aged 65 years and older who underwent elective lower gastrointestinal surgery, identified from the American College of Surgeons NSQIP Participant Use Data Files (2005-2010).

Intervention

Two frailty-based surgical risk models using routine preoperative data (Model 1: functional data, Charlson Comorbidity Index, demographics, BMI, labs; Model 2: demographics, labs, BMI, ASA score)

Outcome

30-day mortality and major complication (morbidity)hard clinical

Routine preoperative data can approximate frailty and predict geriatric-specific surgical risk with predictive power comparable to established prospective frailty scores.

Cite This Study

Amrock et al. (2014) studied this question.

synapsesocial.com/papers/6a716f8efebe604dd70a1b13 https://doi.org/10.1016/j.jamcollsurg.2014.04.018

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Implication

May aid preoperative risk stratification in elderly elective lower GI surgery; leaves open prospective validation against dedicated frailty tools.

Can Routine Preoperative Data Predict Adverse Outcomes in the Elderly? Development and Validation of a Simple Risk Model Incorporating a Chart-Derived Frailty Score

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Can Routine Preoperative Data Predict Adverse Outcomes in the Elderly? Development and Validation of a Simple Risk Model Incorporating a Chart-Derived Frailty Score

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider