ArticleAging clinical and experimental research2022
Frailty is an independent risk factor for postoperative pulmonary complications in elderly patients undergoing video-assisted thoracoscopic pulmonary resections.
Article in Aging clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.
- The association between frailty and hospital-related adverse events in older hospitalised patients: a systematic literature review.European geriatric medicine · 2025Pooled it
- Frailty in patients undergoing video-assisted thoracoscopic surgery for lung cancer: a narrative review of assessment, outcomes and prehabilitation.World journal of surgical oncology · 2026Review
- Role of frailty in predicting postoperative pulmonary complications in older patients undergoing major abdominal surgery: a retrospective cohort study.Korean journal of anesthesiology · 2025Article
- Multilevel risk analysis of postoperative pulmonary complications following mandibular fractures: a retrospective cohort study based on patient characteristics and healthcare system factors.BMC oral health · 2025Article
- The effect of delirium on the association between frailty and postoperative major complications in elderly patients: a mediation analysis.Journal of anesthesia · 2025Article
- Development and validation of a nomogram for predicting pulmonary complications in elderly patients undergoing thoracic surgery.Aging clinical and experimental research · 2024Article
- Frailty is a Risk Factor for Postoperative Complications in Older Adults with Lumbar Degenerative Disease: A Prospective Cohort Study.Clinical interventions in aging · 2024Article
- Higher fraction of inspired oxygen during anesthesia increase the risk of postoperative pulmonary complications in patients undergoing non-cardiothoracic surgery: a retrospective cohort study.Frontiers in physiology · 2024Article
- Racial differences in phenotypic frailty assessment among general thoracic surgery patients.JTCVS open · 2023Article
- Association of preoperative frailty with pulmonary complications after cardiac surgery in elderly individuals: a prospective cohort study.Aging clinical and experimental research · 2023Article
- Effectiveness of oncology nurse navigator on the incidence of postoperative pulmonary complications in gastric cancer patients undergoing radical gastrectomy.BMC nursing · 2023Article
- Anesthesia and perioperative pain relief in the frail elderly patient.Saudi journal of anaesthesiaReview
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAlthough frailty as a common geriatric syndrome is associated with postoperative complications, its relationship with postoperative pulmonary complications (PPCs) following pulmonary resections in elderly patients is unclear.
aimsTo investigate the relationship between frailty and PPCs in elderly patients undergoing video-assisted thoracoscopic pulmonary resections and explore the effect of the addition of frailty assessment to PPC risk index and ASA on their predictive ability.
methodsIn a prospective cohort study, we measured frailty status using the FRAIL scale in elderly patients undergoing video-assisted thoracoscopic pulmonary resections. Multivariate analysis was used to identify the relationship between frailty and PPCs. Receiver operating characteristic curves were used to examine the predictive power of frailty and other assessment tools.
results227 patients were analyzed in the study. The prevalence of PPCs was 24.7%. Significant differences between patients with and without PPCs were observed in the following aspects: BMI, smoking, COPD, respiratory infection within the last month, FEV1/FVC ratio, creatinine, ASA, frailty and PPC risk index (p < 0.05, respectively). After adjusting for all covariates, frailty was significantly related to PPCs in elderly patients (odds ratio: 6.33, 95% confidence interval: 2.45-16.37). Combined with frailty assessment, the area under the curve for ASA class and PPC risk index was increased to 0.759 (95% CI 0.687-0.831) and 0.821 (95% CI 0.758-0.883).
conclusionsFrailty was associated with PPCs in elderly patients undergoing video-assisted thoracoscopic pulmonary resections. Combined with the frailty assessment, the predictive power of the PPC risk index and ASA class was improved.
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