The Impact of Frailty on Long-Term Patient-Oriented Outcomes after Emergency General Surgery: A Retrospective Cohort Study.

ABSTRACT:

Objectives

Few studies examine the impact of frailty on long-term patient-oriented outcomes after emergency general surgery (EGS). We measured the prevalence of frailty among older EGS patients and examined the impact of frailty on 1-year outcomes.

Design

Retrospective cohort study using 2008 to 2014 Medicare claims.

Setting

Acute care hospitals.

Participants

Patients 65 years or older who received one of the five EGS procedures with the highest mortality burden (partial colectomy, small bowel resection, peptic ulcer disease repair, adhesiolysis, or laparotomy).

Measurements

A validated claims-based frailty index (CFI) identified patients who were not frail (CFI < .15), pre-frail (.15 ≤ CFI < .25), mildly frail (.25 ≤ CFI < .35), and moderately to severe

SUBMITTER: Lee KC 

PROVIDER: S-EPMC7234900 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature