Geriatric 8 and Vulnerable Elders Survey-13 predict length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery
The Geriatric 8 (G8) and Vulnerable Elders Survey-13 (VES-13) are established screening tools for assessing vulnerability in older patients. Here we investigated their usefulness as predictors of length of hospital stay and postoperative complications in Japanese patients undergoing urological surge...
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| Veröffentlicht in: | Journal of geriatric oncology 2023-07, Vol.14 (6), p.101558-101558, Article 101558 |
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| container_title | Journal of geriatric oncology |
| container_volume | 14 |
| creator | Tokura, Yuumi Kawai, Taketo Takei, Kazuki Ujiie, Takashi Kanatani, Atsushi Yamada, Yukio Kaneko, Tomoyuki Kamai, Takao Nakagawa, Tohru |
| description | The Geriatric 8 (G8) and Vulnerable Elders Survey-13 (VES-13) are established screening tools for assessing vulnerability in older patients. Here we investigated their usefulness as predictors of length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery.
This study included 643 patients who underwent urological surgery (74% were for malignancy) at our institute from 2017 to 2020. G8 and VES-13 scores were routinely recorded upon admission. These indices and other clinical data were obtained through chart review. The correlation between G8 group (high, >14; intermediate, 11–14; low, |
| doi_str_mv | 10.1016/j.jgo.2023.101558 |
| format | Article |
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This study included 643 patients who underwent urological surgery (74% were for malignancy) at our institute from 2017 to 2020. G8 and VES-13 scores were routinely recorded upon admission. These indices and other clinical data were obtained through chart review. The correlation between G8 group (high, >14; intermediate, 11–14; low, <11) or VES-13 group (normal, <3; high, ≥3) and length of total hospital stay (LOS), postoperative hospital stay (pLOS), and postoperative complications including delirium were analyzed.
The median patient age was 69 years. A total of 44%, 45%, and 11% of patients were classified into high, intermediate, and low G8 groups, respectively, while 77% and 23% were classified into normal and high VES-13 groups, respectively. Univariate analyses revealed that low G8 scores were associated with prolonged LOS (vs. intermediate, odds ratio [OR] 2.87, P < 0.001; vs. high, OR 3.87, P < 0.001), prolonged pLOS (vs. intermediate, OR 2.37, P = 0.005; vs. high, OR 3.06, P < 0.001), and delirium (vs. intermediate, OR 3.23, P = 0.007; vs. high, OR 5.38, P < 0.001), and high VES-13 scores were associated with prolonged LOS (OR 2.85, P < 0.001), prolonged pLOS (OR 2.97, P < 0.001), and Clavien-Dindo grade ≥ 2 complications (OR 1.74, P = 0.044), and delirium (OR 3.18, P = 0.001). Furthermore, multivariate analyses revealed that low G8 and high VES-13 scores were independent factors which predicted prolonged LOS (low G8; vs. intermediate, OR 2.96, P < 0.001; vs. high, OR 3.94, P < 0.001; high VES-13; OR 2.98, P < 0.001) and prolonged pLOS (low G8; vs. intermediate, OR 2.41, P = 0.008; vs. high, OR 3.18, P = 0.002; high VES-13; OR 3.47, P < 0.001), respectively.
The G8 and VES-13 may be effective tools for predicting prolonged LOS/pLOS and postoperative complications in Japanese patients who undergo urological surgery.]]></description><identifier>ISSN: 1879-4068</identifier><identifier>EISSN: 1879-4076</identifier><identifier>DOI: 10.1016/j.jgo.2023.101558</identifier><identifier>PMID: 37327760</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Aged ; Clavien-Dindo ; Delirium ; Delirium - epidemiology ; Delirium - etiology ; East Asian People ; Geriatric 8 ; Geriatric Assessment ; Hospital stay ; Humans ; Length of Stay ; Neoplasms - pathology ; Postoperative complications ; Postoperative Complications - epidemiology ; Urological surgery ; Vulnerable Elders Survey-13</subject><ispartof>Journal of geriatric oncology, 2023-07, Vol.14 (6), p.101558-101558, Article 101558</ispartof><rights>2023 Elsevier Ltd</rights><rights>Copyright © 2023 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-86fb6dfe250ef78dec2ee97fb93bdf1ca120e7f54c22c133c0aeeb57b13d4f783</citedby><cites>FETCH-LOGICAL-c353t-86fb6dfe250ef78dec2ee97fb93bdf1ca120e7f54c22c133c0aeeb57b13d4f783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jgo.2023.101558$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37327760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tokura, Yuumi</creatorcontrib><creatorcontrib>Kawai, Taketo</creatorcontrib><creatorcontrib>Takei, Kazuki</creatorcontrib><creatorcontrib>Ujiie, Takashi</creatorcontrib><creatorcontrib>Kanatani, Atsushi</creatorcontrib><creatorcontrib>Yamada, Yukio</creatorcontrib><creatorcontrib>Kaneko, Tomoyuki</creatorcontrib><creatorcontrib>Kamai, Takao</creatorcontrib><creatorcontrib>Nakagawa, Tohru</creatorcontrib><title>Geriatric 8 and Vulnerable Elders Survey-13 predict length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery</title><title>Journal of geriatric oncology</title><addtitle>J Geriatr Oncol</addtitle><description><![CDATA[The Geriatric 8 (G8) and Vulnerable Elders Survey-13 (VES-13) are established screening tools for assessing vulnerability in older patients. Here we investigated their usefulness as predictors of length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery.
This study included 643 patients who underwent urological surgery (74% were for malignancy) at our institute from 2017 to 2020. G8 and VES-13 scores were routinely recorded upon admission. These indices and other clinical data were obtained through chart review. The correlation between G8 group (high, >14; intermediate, 11–14; low, <11) or VES-13 group (normal, <3; high, ≥3) and length of total hospital stay (LOS), postoperative hospital stay (pLOS), and postoperative complications including delirium were analyzed.
The median patient age was 69 years. A total of 44%, 45%, and 11% of patients were classified into high, intermediate, and low G8 groups, respectively, while 77% and 23% were classified into normal and high VES-13 groups, respectively. Univariate analyses revealed that low G8 scores were associated with prolonged LOS (vs. intermediate, odds ratio [OR] 2.87, P < 0.001; vs. high, OR 3.87, P < 0.001), prolonged pLOS (vs. intermediate, OR 2.37, P = 0.005; vs. high, OR 3.06, P < 0.001), and delirium (vs. intermediate, OR 3.23, P = 0.007; vs. high, OR 5.38, P < 0.001), and high VES-13 scores were associated with prolonged LOS (OR 2.85, P < 0.001), prolonged pLOS (OR 2.97, P < 0.001), and Clavien-Dindo grade ≥ 2 complications (OR 1.74, P = 0.044), and delirium (OR 3.18, P = 0.001). Furthermore, multivariate analyses revealed that low G8 and high VES-13 scores were independent factors which predicted prolonged LOS (low G8; vs. intermediate, OR 2.96, P < 0.001; vs. high, OR 3.94, P < 0.001; high VES-13; OR 2.98, P < 0.001) and prolonged pLOS (low G8; vs. intermediate, OR 2.41, P = 0.008; vs. high, OR 3.18, P = 0.002; high VES-13; OR 3.47, P < 0.001), respectively.
The G8 and VES-13 may be effective tools for predicting prolonged LOS/pLOS and postoperative complications in Japanese patients who undergo urological surgery.]]></description><subject>Aged</subject><subject>Clavien-Dindo</subject><subject>Delirium</subject><subject>Delirium - epidemiology</subject><subject>Delirium - etiology</subject><subject>East Asian People</subject><subject>Geriatric 8</subject><subject>Geriatric Assessment</subject><subject>Hospital stay</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Neoplasms - pathology</subject><subject>Postoperative complications</subject><subject>Postoperative Complications - epidemiology</subject><subject>Urological surgery</subject><subject>Vulnerable Elders Survey-13</subject><issn>1879-4068</issn><issn>1879-4076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2OFCEUhYnROJNxHsCNYemmWn66iqq4MpNx1Eziwp8toeBSQ4cGBKqTfhmfVdoeZykbuOScc-F-CL2mZEMJHd7tNrslbhhh_FT3_fgMXdJRTN2WiOH503kYL9B1KTvSFmfTJIaX6IILzoQYyCX6fQfZqZqdxiNWweCfqw-Q1ewB33oDueBvaz7AsaMcpwzG6Yo9hKU-4GjxQyzJVeVxqer4159iqTG1hOoOgHXcJ-90K2Io2AX8RSUVoABO7Q5CLXgNrcsSXVjwmqOPS5O3vDUvkI-v0AurfIHrx_0K_fh4-_3mU3f_9e7zzYf7TvOe124c7DwYC6wnYMVoQDOASdh54rOxVCvKCAjbbzVjmnKuiQKYezFTbrbNwK_Q23NuyvHXCqXKvSsavG-PjWuRbGSCDWQ78SalZ6nOsZQMVqbs9iofJSXyREbuZCMjT2TkmUzzvHmMX-c9mCfHPw5N8P4sgPbJg4Msi27j0W3eGXSVJrr_xP8Bb4Wi-g</recordid><startdate>202307</startdate><enddate>202307</enddate><creator>Tokura, Yuumi</creator><creator>Kawai, Taketo</creator><creator>Takei, Kazuki</creator><creator>Ujiie, Takashi</creator><creator>Kanatani, Atsushi</creator><creator>Yamada, Yukio</creator><creator>Kaneko, Tomoyuki</creator><creator>Kamai, Takao</creator><creator>Nakagawa, Tohru</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202307</creationdate><title>Geriatric 8 and Vulnerable Elders Survey-13 predict length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery</title><author>Tokura, Yuumi ; Kawai, Taketo ; Takei, Kazuki ; Ujiie, Takashi ; Kanatani, Atsushi ; Yamada, Yukio ; Kaneko, Tomoyuki ; Kamai, Takao ; Nakagawa, Tohru</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-86fb6dfe250ef78dec2ee97fb93bdf1ca120e7f54c22c133c0aeeb57b13d4f783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Clavien-Dindo</topic><topic>Delirium</topic><topic>Delirium - epidemiology</topic><topic>Delirium - etiology</topic><topic>East Asian People</topic><topic>Geriatric 8</topic><topic>Geriatric Assessment</topic><topic>Hospital stay</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Neoplasms - pathology</topic><topic>Postoperative complications</topic><topic>Postoperative Complications - epidemiology</topic><topic>Urological surgery</topic><topic>Vulnerable Elders Survey-13</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tokura, Yuumi</creatorcontrib><creatorcontrib>Kawai, Taketo</creatorcontrib><creatorcontrib>Takei, Kazuki</creatorcontrib><creatorcontrib>Ujiie, Takashi</creatorcontrib><creatorcontrib>Kanatani, Atsushi</creatorcontrib><creatorcontrib>Yamada, Yukio</creatorcontrib><creatorcontrib>Kaneko, Tomoyuki</creatorcontrib><creatorcontrib>Kamai, Takao</creatorcontrib><creatorcontrib>Nakagawa, Tohru</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of geriatric oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tokura, Yuumi</au><au>Kawai, Taketo</au><au>Takei, Kazuki</au><au>Ujiie, Takashi</au><au>Kanatani, Atsushi</au><au>Yamada, Yukio</au><au>Kaneko, Tomoyuki</au><au>Kamai, Takao</au><au>Nakagawa, Tohru</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Geriatric 8 and Vulnerable Elders Survey-13 predict length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery</atitle><jtitle>Journal of geriatric oncology</jtitle><addtitle>J Geriatr Oncol</addtitle><date>2023-07</date><risdate>2023</risdate><volume>14</volume><issue>6</issue><spage>101558</spage><epage>101558</epage><pages>101558-101558</pages><artnum>101558</artnum><issn>1879-4068</issn><eissn>1879-4076</eissn><abstract><![CDATA[The Geriatric 8 (G8) and Vulnerable Elders Survey-13 (VES-13) are established screening tools for assessing vulnerability in older patients. Here we investigated their usefulness as predictors of length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery.
This study included 643 patients who underwent urological surgery (74% were for malignancy) at our institute from 2017 to 2020. G8 and VES-13 scores were routinely recorded upon admission. These indices and other clinical data were obtained through chart review. The correlation between G8 group (high, >14; intermediate, 11–14; low, <11) or VES-13 group (normal, <3; high, ≥3) and length of total hospital stay (LOS), postoperative hospital stay (pLOS), and postoperative complications including delirium were analyzed.
The median patient age was 69 years. A total of 44%, 45%, and 11% of patients were classified into high, intermediate, and low G8 groups, respectively, while 77% and 23% were classified into normal and high VES-13 groups, respectively. Univariate analyses revealed that low G8 scores were associated with prolonged LOS (vs. intermediate, odds ratio [OR] 2.87, P < 0.001; vs. high, OR 3.87, P < 0.001), prolonged pLOS (vs. intermediate, OR 2.37, P = 0.005; vs. high, OR 3.06, P < 0.001), and delirium (vs. intermediate, OR 3.23, P = 0.007; vs. high, OR 5.38, P < 0.001), and high VES-13 scores were associated with prolonged LOS (OR 2.85, P < 0.001), prolonged pLOS (OR 2.97, P < 0.001), and Clavien-Dindo grade ≥ 2 complications (OR 1.74, P = 0.044), and delirium (OR 3.18, P = 0.001). Furthermore, multivariate analyses revealed that low G8 and high VES-13 scores were independent factors which predicted prolonged LOS (low G8; vs. intermediate, OR 2.96, P < 0.001; vs. high, OR 3.94, P < 0.001; high VES-13; OR 2.98, P < 0.001) and prolonged pLOS (low G8; vs. intermediate, OR 2.41, P = 0.008; vs. high, OR 3.18, P = 0.002; high VES-13; OR 3.47, P < 0.001), respectively.
The G8 and VES-13 may be effective tools for predicting prolonged LOS/pLOS and postoperative complications in Japanese patients who undergo urological surgery.]]></abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>37327760</pmid><doi>10.1016/j.jgo.2023.101558</doi><tpages>1</tpages></addata></record> |
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| subjects | Aged Clavien-Dindo Delirium Delirium - epidemiology Delirium - etiology East Asian People Geriatric 8 Geriatric Assessment Hospital stay Humans Length of Stay Neoplasms - pathology Postoperative complications Postoperative Complications - epidemiology Urological surgery Vulnerable Elders Survey-13 |
| title | Geriatric 8 and Vulnerable Elders Survey-13 predict length of hospital stay and postoperative complications in Japanese patients undergoing urological surgery |
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