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

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

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 201...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2020-05, Vol.68 (5), p.1037-1043
Hauptverfasser: Lee, Katherine C., Streid, Jocelyn, Sturgeon, Dan, Lipsitz, Stuart, Weissman, Joel S., Rosenthal, Ronnie A., Kim, Dae H., Mitchell, Susan L., Cooper, Zara
Format: Artikel
Sprache:eng
Schlagworte:
Aged
Aged, 80 and over
Cohort analysis
emergency general surgery
Emergency medical care
Female
Frailty
Frailty - classification
Frailty - epidemiology
geriatric surgery
Hospital Mortality
hospital volume
Hospitalization - statistics & numerical data
Humans
Male
Medicare - statistics & numerical data
Mortality
Outcome Assessment, Health Care - statistics & numerical data
outcomes
Palliative care
Patients
Peptic ulcers
Proportional Hazards Models
Regression analysis
Retrospective Studies
Risk Assessment
Sepsis
Severity of Illness Index
Small intestine
Surgery
Surgical Procedures, Operative - adverse effects
Surgical Procedures, Operative - statistics & numerical data
Survival Analysis
Trauma
United States
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Zusammenfassung: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 
ISSN:0002-8614
1532-5415
DOI:10.1111/jgs.16334