Evidence map›Paper›PMID 42088183›Full record

ArticleJournal of anaesthesiology, clinical pharmacology

Frailty and sarcopenia as predictors of postoperative outcomes in elderly patients undergoing lower limb orthopedic surgeries in South India.

Ashu S Mathai, Meenu Joy, Sangeetha M Varghese, Ivan Koshy

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Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Ashu S MathaiDepartment of Anaesthesiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.
Meenu JoyDepartment of Anaesthesiology, Aster Medicity, Kuttisahib Road Cheranelloor, Kochi, Kerala, India.
Sangeetha M VargheseDepartment of Social and Preventive Medicine, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.
Ivan KoshyDepartment of Anaesthesiology, Believers Church Medical College Hospital, Thiruvalla, Kerala, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: As the aging Indian population expands, anesthesiologists will increasingly encounter frail surgical patients. We aimed to study the prevalence of frailty, its association with sarcopenia, and its impact on postoperative outcomes among older patients (>65 years) undergoing lower limb orthopedic surgeries. Material and Methods: Frailty was assessed using the Clinical Frailty Score (CFS), and values were compared with ultrasound-guided quadriceps muscle thickness measurements for sarcopenia, after normalizing for body mass index (BMI) and body surface area (BSA). A comparison of perioperative characteristics and postoperative outcomes with frailty was made using Spearman's correlation and the Chi-square test. An ROC curve was plotted to evaluate the validity of the normalized quadriceps muscle thickness value in diagnosing frailty. Results: The proportion of frailty in our study population was 80.1% with a significant association for sarcopenia (Spearman's correlation coefficient -0.182 and -0.237 for quadriceps muscle thickness normalized for BMI and BSA, Conclusion: Frailty occurs in a large percentage of older orthopedic patients and significantly impacts postoperative outcomes.

Indexed as

Anesthesiaelderlyfrailtyorthopedic surgerysarcopenia

Identifiers

PMID42088183
PMCPMC13138804

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.