ArticleWorld journal of surgery2020
Does Preoperative Comprehensive Geriatric Assessment and Frailty Predict Postoperative Complications?
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Psychological factors associated with postoperative cognitive outcomes in older adults: a systematic review and meta-analysis.British journal of anaesthesia · 2026Pooled it
- The Association of an Electronic Frailty Index with Glaucoma Shunt Outcomes.Geriatrics (Basel, Switzerland) · 2026Article
- Approaches to Preoperative Assessment of Elderly Patients Undergoing Dental Surgical Interventions: A Systematic Review.Journal of clinical and experimental dentistry · 2026Review
- Key Risk Factors for Postoperative Hypotension in Nasopharyngeal Carcinoma Patients After Endoscopic Surgery: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Preoperative Cognitive Optimization and Postoperative Cognitive Outcomes: A Narrative Review.Clinical interventions in aging · 2025Review
- The perioperative frailty index derived from the Chinese hospital information system: a validation study.BMC geriatrics · 2024Article
- Comprehensive Peri-Operative Risk Assessment and Management of Geriatric Patients.Diagnostics (Basel, Switzerland) · 2024Review
- The interrelationship between multiple long-term conditions (MLTC) and delirium: a scoping review.Age and ageing · 2024Article
- Association of postoperative delirium with serum and cerebrospinal fluid proteomic profiles: a prospective cohort study in older hip fracture patients.GeroScience · 2024Article
- Risk Factors for Postoperative Cognitive Decline After Orthopedic Surgery in Elderly Chinese Patients: A Retrospective Cohort Study.Clinical interventions in aging · 2024Article
- Inflammation-based prognostic scores in geriatric patients with rectal cancer.Techniques in coloproctology · 2023Article
- Octogenarian patients with colon cancer - postoperative morbidity and mortality are the major challenges.BMC cancer · 2022Article
- Mini-Cog to Predict Postoperative Delirium in Patients Who Underwent Transurethral Resection of Bladder Tumor While Awake.Turkish journal of urology · 2022Article
- Does Preoperative Cognitive Optimization Improve Postoperative Outcomes in the Elderly?Journal of clinical medicine · 2022Review
- Presurgical Screening Improves Risk Prediction for Delirium in Elective Surgery of Older Patients: The PAWEL RISK Study.Frontiers in aging neuroscience · 2021Article
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Authors and funding
15 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe influence of preoperative comprehensive geriatric assessment and frailty on postoperative morbidity, mortality, delirium were examined.
methodsA total of 108 patients were evaluated. The Katz Index of Independence in Activities of Daily Living (ADL), the Lawton Brody Instrumental Activities of Daily Living Scale (IADL), the Mini-Nutrition Assessment test (MNA), the Mini-Mental State Examination (MMSE), Yesavage Geriatric Depression Scale (GDS) were performed. Fried Criteria were used to assess physical frailty. We used the Physiological and Operative Severity Scores for the Enumeration of Mortality and Morbidity score (POSSUM), the American Society of Anesthesiologists Score (ASA), and the Charlson Comorbidity Index (CCI) to determine the risk of postoperative morbidity and mortality. Assessment Test for Delirium (4AT) was applied for detection of delirium.
resultsThe median age was 71 years (min-max: 65-84). IADL (p = 0.032), MNA (p = 0.01), MMSE scores (p = 0.026) were found to be significantly lower in patients with morbidity. POSSUM physiology score (p = 0.005), operative score (p = 0.015) and CCI (p = 0.029) were significantly higher in the patients with morbidity. Patients developed morbidity were found to be more frail (p < 0.001). The patients with delirium were found to have lower IADL (p = 0.049) and MMSE scores (p = 0.004), higher POSSUM physiology score (p = 0.005) and all of them were frail. It was found that frailty (OR = 23.695 95% CI: 6.912-81.231 p < 0.001), POSSUM operative score (OR:1.118 95% CI: 1.021-1.224 p = 0.016) and preoperative systolic blood pressure (OR:0.937%95 CI: 0.879-0.999 p = 0.048) were independently related factors for postoperative morbidity.
conclusionIn our study, CGA and frailty in preoperative period were found to be indicators for postoperative morbidity and delirium.
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