Department of Anesthesiology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No. 55 Zhenhai Road, Siming, Xiamen, Fujian, 361001, China.
Department of Cardiac Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, No. 55 Zhenhai Road, Siming, Xiamen, Fujian, 361001, China.
Langenbecks Arch Surg. 2024 Sep 27;409(1):290. doi: 10.1007/s00423-024-03477-8.
Frailty is common in surgical patients and is closely associated with postoperative outcomes.
This study employed bibliometric methods to summarize and analyze research related to frailty and surgery, comprehensively analyzing the research structure and providing visualized maps.
This study analyzed the volume of publications, countries, institutions, authors, journals, references, and keywords related to perioperative frailty in the Web of Science Core Collection from 1978 to 2024. Visual bibliometric analyses were conducted from multiple perspectives, including collaboration networks, citation analysis, and keyword clustering.
From 1978 to 2024, 21,879 authors from 95 countries and regions published 4,119 papers on perioperative frailty in 973 journals worldwide. The United States has the most publications, while Italy has the highest degree of international collaboration. The University of California System has the highest number of publications. The University of Kansas Medical Center is the institution with the highest centrality. The top nine authors in terms of publication volume are all from the USA. Bowers Christian A. is the most prolific author. The Journal of Vascular Surgery is the journal with the most publications. Current research directions include preoperative risk assessment of frailty, the relationship between frailty and postoperative complications, elderly frailty, and the relationship between frailty and sarcopenia. Research hotspots include risk stratification, postoperative delirium, the elderly, and sarcopenia.
This study has identified the research hotspots and trends in perioperative frailty. Our findings will enable researchers to understand this field's knowledge structure better and identify future research directions.
虚弱是手术患者中常见的问题，与术后结局密切相关。
本研究采用文献计量学方法对与虚弱和手术相关的研究进行总结和分析，全面分析研究结构并提供可视化图谱。
本研究分析了 1978 年至 2024 年间，Web of Science 核心合集数据库中与围手术期虚弱相关的出版物数量、国家、机构、作者、期刊、参考文献和关键词。从合作网络、引文分析和关键词聚类等多个角度进行了可视化的文献计量学分析。
1978 年至 2024 年，来自 95 个国家和地区的 21879 名作者在全球 973 种期刊上发表了 4119 篇关于围手术期虚弱的论文。美国发表的文献最多，而意大利的国际合作程度最高。加利福尼亚大学系统发表的文献数量最多。堪萨斯大学医学中心的中心度最高。发表文献量排名前九的作者均来自美国。克里斯蒂安·鲍尔斯（Christian A.）是最具影响力的作者。《血管外科学杂志》（Journal of Vascular Surgery）发表的文献最多。目前的研究方向包括虚弱的术前风险评估、虚弱与术后并发症的关系、老年虚弱以及虚弱与肌肉减少症的关系。研究热点包括风险分层、术后谵妄、老年人和肌肉减少症。
本研究确定了围手术期虚弱的研究热点和趋势。我们的研究结果将使研究人员更好地了解该领域的知识结构，并确定未来的研究方向。
