期刊
AMERICAN JOURNAL OF SURGERY
卷 202, 期 5, 页码 511-514出版社
EXCERPTA MEDICA INC-ELSEVIER SCIENCE INC
DOI: 10.1016/j.amjsurg.2011.06.017
关键词
Geriatric; Surgery; Financial; Frailty; Healthcare resources
类别
资金
- NHLBI NIH HHS [K24-HL-089223, K24 HL089223, K24 HL089223-04, K24 HL089223-05] Funding Source: Medline
- NIA NIH HHS [K23 AG034632-02, K23 AG034632-01A1, K23 AG034632, K23AG034632] Funding Source: Medline
BACKGROUND: The purpose of this study was to determine the relationship of frailty and 6-month postoperative costs. METHODS: Subjects aged >= 65 years undergoing elective colorectal operations were enrolled in a prospective observational study. Frailty was assessed by a validated measure of function, cognition, nutrition, comorbidity burden, and geriatric syndromes. Frailty was quantified by summing the number of positive characteristics in each subject. RESULTS: Sixty subjects (mean age, 75 +/- 8 years) were studied. Inpatient mortality was 2% (n = 1). Overall, 40% of subjects (n = 24) were considered nonfrail, 22% (n = 13) were prefrail, and 38% (n = 22) were frail. With advancing frailty, hospital costs increased (P < .001) and costs from discharge to 6-months increased (P < .001). Higher degrees of frailty were related to increased rates of discharge institutionalization (P < .001) and 30-day readmission (P = .044). CONCLUSIONS: A simple, brief preoperative frailty assessment accurately forecasts increased surgical hospital costs and postdischarge to 6-month healthcare costs after colorectal operations in older adults. Published by Elsevier Inc.
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