ArticleSurgery today2017
The impact of frailty syndrome and risk scores on emergency cholecystectomy patients.
Article in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02825082 (Risk Stratification Tools and Frailty Index for Predicting Perioperative Outcome in Elderly Patients Undergoing Abdominal Emergency Surgery), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Risk Stratification Tools and Frailty Index for Predicting Perioperative Outcome in Elderly Patients Undergoing Abdominal Emergency Surgery
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Frailty as a predictor of mortality and morbidity after cholecystectomy: A systematic review and meta-analysis of cohort studies.Langenbeck's archives of surgery · 2024Pooled it
- Pyogenic Liver Abscess Complicating Acute Cholecystitis: Different Management Options.Medicina (Kaunas, Lithuania) · 2022Article
- Risk factors for postoperative morbidity following appendectomy in the elderly: a nationwide prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Role of serum procalcitonin in predicting the surgical outcomes of acute calculous cholecystitis.Langenbeck's archives of surgery · 2021Article
- The Emergency Surgery Frailty Index (EmSFI): development and internal validation of a novel simple bedside risk score for elderly patients undergoing emergency surgery.Aging clinical and experimental research · 2021Article
- Safety of Laparoscopic Cholecystectomy for Acute Cholecystitis in the Elderly: A Multivariate Analysis of Risk Factors for Intra and Postoperative Complications.Medicina (Kaunas, Lithuania) · 2021Article
- Frailty and Adverse Outcomes Among Older Patients Undergoing Gastroenterological Surgery in Vietnam.Journal of multidisciplinary healthcare · 2021Article
- Functional performance and 30-day postoperative mortality after emergency laparotomy-a retrospective, multicenter, observational cohort study of 1084 patients.Perioperative medicine (London, England) · 2020Article
- Enhanced Recovery Program for Colorectal Surgery: a Focus on Elderly Patients Over 75 Years Old.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Frailty and postoperative complications in older Chinese adults undergoing major thoracic and abdominal surgery.Clinical interventions in aging · 2019Article
- Impact of comorbidities on the postoperative outcomes of acute cholecystitis following early cholecystectomy.Surgery today · 2017Article
- Emergency surgery for colorectal cancer does not affect nodal harvest comparing elective procedures: a propensity score-matched analysis.International journal of colorectal disease · 2017Article
- The Impact of Frailty on Morbidity and Mortality following Open Emergent Colectomies.BioMed research international · 2017Article
- 2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population.World journal of emergency surgery : WJESReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCholecystectomy, which is one of the most common surgical procedures, is also performed in the emergency setting. A number of risk scores have been introduced in recent studies; moreover, over the last few years literature has focused on surgical patients with frailty syndrome. The aim of the present study is to evaluate whether frailty syndrome and the risk scores are correlated with morbidity, post-operative hospital stay and the ICU admission rate following emergency cholecystectomy.
methodsEighty-five consecutive patients of >65 years of age who underwent cholecystectomy were selected from 2306 emergency procedures for inclusion in the present study. The patients were assessed for frailty syndrome and their scores were calculated on the basis of chart review. Univariate analyses were performed to compare severe frailty patients to intermediate frailty and robust patients. ROC and logistic regression analyses were performed with the end-points of morbidity, hospital stay and ICU admission.
resultsIn addition to having worse ASA, inflammatory and risk values than robust patients, frailty syndrome patients also had higher rates of morbidity and ICU admission and longer hospitalization periods. A logistic regression analysis showed that the P-Possum was independently correlated with morbidity. Frailty and open surgery were independently correlated with longer hospitalization, whereas ICU admission was correlated with worse ASA and P-Possum values.
conclusionsFrailty syndrome significantly impacts the length of hospitalization in patients undergoing emergency cholecystectomy. Although the ORs were limited, the P-Possum value was independently associated with the outcome.
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