The association of frailty and postoperative complications among older patients with surgery / 中国实用护理杂志

ABSTRACT

Objective To explore the association of frailty and postoperative complications among older patients with surgery. Methods From November 2016 to November 2017, a total of 245 older patients with surgery were included in this study, demographic data, frailty status and potential risk factors were collected by using general information questionnaire, frailty phenotype and risk factors questionnaire. The outcome was the occurrence of postoperative complications in hospital. The mehod of t test, chi-square test or Wilcoxon-Mann-Whitney test were used for univariate analysis; Logistic regression analysis was used for multivariate analysis. Results The prevalence of postoperative complication among surgical older patients was 25.71％, frailty patients were more prone to postoperative complications in hospital (χ2=51.385, P<0.01). After adjusted of age, activities of daily living, anesthesia classification, serum albumin, hemoglobin and other confounding factors, frailty still as a predictor of adverse outcome, OR=10.978, 95％CI=4.651-25.906 (P<0.01). The time of surgery and American Society of Anesthesiolgists anesthesia classification of could also influence the occurrence of outcome. Conclusions Frailty is an effective predictor of postoperative complication among older patients with surgery. Nurses could evaluate the frailty status about older patient and provide inventions to prevent the occurrence of adverse outcome.