Self-Reported Function More Informative than Frailty Phenotype in Predicting Adverse Postoperative Course in Older Adults.

ABSTRACT:

Background/objective

Current preoperative assessment tools such as the American College of Surgeons Surgical Risk Calculator (ACS Calculator) are suboptimal for evaluating older adults. The objective was to evaluate and compare the performance of the ACS Calculator for predicting risk of serious postoperative complications with the addition of self-reported physical function versus a frailty score.

Design

Prospective cohort.

Setting

Two tertiary care academic medical centers in Massachusetts.

Participants

Individuals aged 65 and older undergoing any surgery with a risk of serious complication of 5% or greater (N = 403).

Measurements

We measured self-reported physical function using the Late-Life Function and Disability Instrument (LLFDI FUNCTION) and fra

SUBMITTER: Kapoor A 

PROVIDER: S-EPMC5681367 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature