Major Elective Surgery Impact on Performance Status in Older Adults: A Prospective Observational Study.

ABSTRACT:

Background and aims

This study evaluated the impact of major elective surgery on performance status, defined as functional and cognitive status, in older adults 3 months postoperatively. Secondary endpoints included assessing the need for domiciliary care, rehospitalization, or institutionalization, and evaluating associations with anesthesia type.

Methods

In this observational prospective cohort study, 169 patients aged ≥ 70 underwent major elective surgery between May 2020 and June 2023; 150 had complete information at 3-months (T3). Decline in performance status, either functional or cognitive, was defined as a ≥ 10-point worsening in the Barthel Index (BI) or death, or a ≥ 3-point decline in Mini-Mental State Examination (MMSE), all measured 3 months after surgery.

Re

SUBMITTER: Moretto F 

PROVIDER: S-EPMC12580469 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature