Relationship of frailty and postoperative complications in older people who underwent radical surgery for a gastrointestinal tumour DOI
Yunsong Li,

Chun‐Wei Peng,

Bingbing Zou

et al.

Australasian Journal on Ageing, Journal Year: 2025, Volume and Issue: 44(1)

Published: March 1, 2025

Abstract Objective Frailty is associated with postoperative complications in older people gastrointestinal malignancies. However, the relationship between frailty and complication severity, as well risk factors for after radical surgery, still unclear. Methods was assessed using a modified Index (mFI) score, correlation compared frail non‐frail groups. Complication severity evaluated Clavien–Dindo (C‐D) system, independent were identified through odds ratios (OR) multivariate logistic analysis. The participants divided into non‐frailty groups based on mFI. Results group had fewer patients aged 60–69 years (19% vs. 31%, p = .03) higher incidence of moderate CCI (52% 69%, .001). strongly linked to complications, including pulmonary infections (16% 8%, .009), embolism (8% 3%, .02) acute kidney injury (14% 6%, .005). Older experienced more severe rates C‐D grade III (23% 10%, .004) V (6% 1%, .004). Multivariate analysis found that (OR: 1.492, .02), age greater than 70 1.239, .04) comorbidities increased OR complications. Additionally, poorer recovery, in‐hospital mortality (4% 0%, .01), ICU readmissions (11% .005), longer stays (9 8 days, < .001) costs (48,035 RMB 43,792 RMB, Conclusions adults worse recovery.

Language: Английский

Relationship of frailty and postoperative complications in older people who underwent radical surgery for a gastrointestinal tumour DOI
Yunsong Li,

Chun‐Wei Peng,

Bingbing Zou

et al.

Australasian Journal on Ageing, Journal Year: 2025, Volume and Issue: 44(1)

Published: March 1, 2025

Abstract Objective Frailty is associated with postoperative complications in older people gastrointestinal malignancies. However, the relationship between frailty and complication severity, as well risk factors for after radical surgery, still unclear. Methods was assessed using a modified Index (mFI) score, correlation compared frail non‐frail groups. Complication severity evaluated Clavien–Dindo (C‐D) system, independent were identified through odds ratios (OR) multivariate logistic analysis. The participants divided into non‐frailty groups based on mFI. Results group had fewer patients aged 60–69 years (19% vs. 31%, p = .03) higher incidence of moderate CCI (52% 69%, .001). strongly linked to complications, including pulmonary infections (16% 8%, .009), embolism (8% 3%, .02) acute kidney injury (14% 6%, .005). Older experienced more severe rates C‐D grade III (23% 10%, .004) V (6% 1%, .004). Multivariate analysis found that (OR: 1.492, .02), age greater than 70 1.239, .04) comorbidities increased OR complications. Additionally, poorer recovery, in‐hospital mortality (4% 0%, .01), ICU readmissions (11% .005), longer stays (9 8 days, < .001) costs (48,035 RMB 43,792 RMB, Conclusions adults worse recovery.

Language: Английский

Citations

0