Pereira Duarte Matias, Lencina Omar, Camino Willhuber Gaston, Kido Gonzalo, Julio Bassani, Petracchi Matias, Solá Carlos, Gruenberg Marcelo
Medico.
Servicio de Ortopedia y Traumatología, Clínica Centro, Junín, Argentina..
Rev Fac Cien Med Univ Nac Cordoba. 2021 Mar 12;78(1):9-16. doi: 10.31053/1853.0605.v78.n1.30371.
Frailty is a term used to quantify the physiological age of patients. Higher levels of frailty correlate with higher complications and mortality rates after different surgical procedures. The objective of this work is to evaluate the relationship between frailty and the complications and mortality rates after elective spinal surgeries within 90 days.
A retrospective observational analytical study of patients older than 18 years with elective spine surgery was performed. The following variables were analyzed differentially according to their Modified Frailty Index (mFI) with a cut-off point of 0,18: age, sex, body mass index, ASA score, details of the procedures, length of stay, complications, unscheduled rehospitalizations, reoperations, and mortality within 90 postoperative days.
257 patients were included. Within the 30 complications, 16 occurred in the non-frail group (8%) and 14 in frail patients (24.5%), (p = 0.02). Six complications were infectious in the group of frail patients (10.5%) and 4 in the non-frail patients (2%), (p = 0.009). No significant differences were detected regarding the duration of surgeries, the length of stay or the reoperations, re-hospitalizations or mortality rates.
Patients with a modified Frailty Index ≥0,18 who underwent elective spine surgery were 3 times more likely to present complications, particularly, infectious ones.
衰弱是一个用于量化患者生理年龄的术语。更高程度的衰弱与不同外科手术后更高的并发症和死亡率相关。这项研究的目的是评估衰弱与择期脊柱手术后90天内的并发症及死亡率之间的关系。
对年龄超过18岁的择期脊柱手术患者进行了一项回顾性观察分析研究。根据改良衰弱指数（mFI）（临界值为0.18）对以下变量进行了差异分析：年龄、性别、体重指数、美国麻醉医师协会（ASA）评分、手术细节、住院时间、并发症、非计划再次住院、再次手术以及术后90天内的死亡率。
共纳入257例患者。在30例并发症中，非衰弱组有16例（8%），衰弱患者中有14例（24.5%），（p = 0.02）。衰弱患者组中有6例并发症为感染性并发症（10.5%），非衰弱患者中有4例（2%），（p = 0.009）。在手术时长、住院时间、再次手术、再次住院率或死亡率方面未检测到显著差异。
接受择期脊柱手术且改良衰弱指数≥0.18的患者出现并发症的可能性高出3倍，尤其是感染性并发症。
