Prevalence of frailty and its association with mortality in general surgery

Hewitt, Jonathan ORCID: https://orcid.org/0000-0002-7924-1792, Moug, Susan J., Middleton, Maeve, Chakrabarti, Mohua, Stechman, Micheal J. and McCarthy, Kathryn 2015. Prevalence of frailty and its association with mortality in general surgery. American Journal of Surgery 209 (2) , pp. 254-259. 10.1016/j.amjsurg.2014.05.022

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Abstract

Background: We assessed the prevalence of frailty in an older acute general surgical population and its correlation with length of hospital stay, readmission to hospital, and 30- and 90-day mortality. Methods: In 3 acute surgical admission units, we assessed consecutive participants aged over 65 years with general surgical conditions. We measured the prevalence of frailty using a 7-point frailty score. We measured length of hospital stay, readmission to hospital, and mortality at both 30 and 90 days. Results: We studied 325 participants with an average age of 77.3 years 8.2 (standard deviation), 185 (57%) women. There were 88 (28%) participants who were classified as being mildly, moderately, or severely frail. The frail group spent longer in hospital (7.6 days, 95% confidence interval [CI] 6.1 to 9.2 vs 11.1, 95% CI 7.2 to 15.0; P = .03). They also were more likely to die at both 30 and 90 days (adjusted odds ratio [OR] 4.0, 95% CI 1.1 to 15.2, P = .04; OR 3.0, 95% CI 1.3 to 7.4, P = .02). Readmission to hospital did not differ (OR 1.1, 95% CI .5 to 2.3). Conclusions: Over 1 in 4 people were frail. These individuals spent longer in hospital and were more likely to die.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > RD Surgery
Publisher:	Elsevier
ISSN:	0002-9610
Last Modified:	28 Oct 2022 10:36
URI:	https://orca.cardiff.ac.uk/id/eprint/78976

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