ArticleBMC surgery2025
The relationship between preoperative SPPB scores and 30-day postoperative pulmonary complications in elderly patients undergoing elective major abdominal surgery.
Article in BMC surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07713355 (Impact of Multimodal Brain Monitoring Under General Anesthesia on Postoperative Outcomes in Elderly Patients Undergoing Major Abdominal Surgery), which is not on this map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Impact of Multimodal Brain Monitoring Under General Anesthesia on Postoperative Outcomes in Elderly Patients Undergoing Major Abdominal Surgery: A Multicenter, Prospective, Single-blind, Randomized Controlled Study
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8 authors.
Funding
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Abstract
objectiveThis study investigated the correlation between preoperative Short Physical Performance Battery (SPPB) scores and the incidence of 30-day postoperative pulmonary complications (PPCs) in elderly patients undergoing elective major abdominal surgery.
methodsA cohort of 680 patients aged 65 years and above, scheduled for major abdominal surgery between April 2023 and November 2024 at our institution, was initially considered. Of these, 645 were enrolled and assessed using the SPPB on the day prior to surgery to evaluate their level of frailty. We collected demographic data and monitored the rates of PPCs within 30 days post-surgery. Participants were dichotomized into two groups based on their SPPB scores: a low-score group (scores below 10) and a high-score group (scores of 10 or above). Both univariate and multivariate logistic regression analyses were employed to explore the independent association between preoperative SPPB scores and the occurrence of PPCs.
resultsThe study included 440 patients in the high SPPB group (scores ≥ 10) and 205 in the low SPPB group (scores < 10). A significantly lower incidence of PPCs was observed in the high SPPB group (P = 0.002). Further, multivariate analysis substantiated that a higher preoperative SPPB score was independently predictive of a lower risk of PPCs (OR = 0.63, 95% CI: 0.42-0.94, P = 0.025).
conclusionThe SPPB serves as a valuable clinical instrument for assessing preoperative functional status. Elevated preoperative SPPB scores correlate with a decreased risk of PPCs in elderly patients undergoing elective major abdominal surgeries under general anesthesia.
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