Temat: modified frailty index

Skocz do pozycji: 1.

Tytuł:: Modified Frailty Index and Brief Geriatric Assessment do not predict prolonged hospitalization in elderly patients undergoing appendectomy due to Acute Appendicitis
Autorzy:: Kołodziejska, Katarzyna
Tylec, Piotr
Droś, Jakub
Kacprzyk, Artur
Kula, Wojciech
Matyja, Maciej
Pędziwiatr, Michał
Rubinkiewicz, Mateusz
Tematy:: acute appendicitis
appendectomy
appendicitis
brief geriatric assessment
elderly
frailty syndrome
geriatric
modified frailty index
surgery in elderly; Pokaż więcej
Wydawca:: Index Copernicus International
Powiązania:: https://bibliotekanauki.pl/articles/58661487.pdf Link otwiera się w nowym oknie
Opis:: Introduction: Epidemiology and the outcomes of acute appendicitis in elderly people are very different from the younger patients. Aim: The aim of this study was to investigate the significance of frailty syndrome in the course of acute appendicitis. Material and methods: All patients over 65 years old who underwent laparoscopic appendectomy between 2013 and 2021 in the 2nd Department of General Surgery were included in the study. In our assessment, we applied Modified Frailty Index and Brief Geriatric Assessment. Results: In the analyzed period, 106 appendectomies were performed in patients over 65 years of age. Postoperative complications occurred in 13 patients (12.3%). Prolonged hospitalization (over 3 days) was observed in 48 patients (45.3%). Multivariate analysis showed that every ASA class (OR = 2.406; 95% CI 1.089–5.316; P = 0.030) and postoperative complication (OR = 5.692; 95% CI 1.077–30.073; P = 0.041) are risk factors for prolonged hospitalization. Our study identified diabetes (OR = 5.956; 95% CI 1.391–25.510; P = 0.016) as a risk factor for postoperative complications. Conclusions: According to our study, Modified Frailty Index and Brief Geriatric Assessment do not correlate with prolonged hospitalization or higher risk for postoperative complications after appendectomy in elderly people.
Dostawca treści:: Biblioteka Nauki

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Tytuł:: Radiological features for frailty assessment in patients requiring emergency laparotomy
Autorzy:: Kołodziejska, Katarzyna
Witowski, Jan
Rubinkiewicz, Mateusz
Lis, Maciej
Pędziwiatr, Michał
Przytuła, Natalia
Grochowska, Anna
Tylec, Piotr
Opis:: Introduction: As the number of elderly patients requiring surgical intervention rises, it is believed that frailty syndrome has a greater impact on perioperative course than on chronological age. The aim of this study was to evaluate the efficacy of various imaging features for frailty assessment in patients undergoing emergency laparotomy. Methods: The study included all patients that qualified for emergency surgery with preoperative CT scans between 2016 and 2020 in the Second Department of General Surgery. Multiple trauma patients were excluded from the analysis. The modified frailty index and brief geriatric assessment were used in the analysis. CT images were reviewed for the assessment of osteopenia, sarcopenia, sarcopenic obesity, renal volume and abdominal aorta calcification rate. Results: A total of 261 patients were included in the analysis. Multivariate logistic regression identified every next ASA class (OR: 4.161, 95%CI: 1.672–10.355, p = 0.002), intraoperative adverse events (OR: 12.397, 95%CI: 2.166–70.969, p = 0.005) and osteopenia (OR: 4.213, 95%CI: 1.235–14.367, p = 0.022) as a risk factor for 30-day mortality. Our study showed that every next ASA class (OR: 1.952, 95%Cl: 1.171–3.256, p = 0.010) and every point of the BGA score (OR: 1.496, 95%Cl: 1.110–2.016, p = 0.008) are risk factors for major complications. Conclusions: Osteopenia was the best parameter for perioperative mortality risk stratification in patients undergoing emergency surgical intervention. Sarcopenia (measured as psoas muscle area), sarcopenic obesity, aortic calcifications and mean kidney volume do not predict poor outcomes in those patients. None of the radiological markers appeared to be useful for the prediction of perioperative morbidity.
Dostawca treści:: Repozytorium Uniwersytetu Jagiellońskiego

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