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老年腹部手术患者术前衰弱的现状及相关因素

The current situation and associated factors of preoperative frailty in elderly patients undergoing abdominal surgery.

作者信息

Yin Lu, Wang Heng, Mao Fang, Zhong Min, Yin Xiaorong, Hu Xiuying

机构信息

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China.

West China School of Nursing, Sichuan University, Chengdu, Sichuan Province, 610041, People's Republic of China.

出版信息

Perioper Med (Lond). 2024 Dec 18;13(1):117. doi: 10.1186/s13741-024-00476-7.

DOI:10.1186/s13741-024-00476-7
PMID:39696648
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11656996/
Abstract

BACKGROUND

This study aimed to investigate the current preoperative frailty status of elderly patients undergoing abdominal surgery and identify its associated factors. The objective of this study was to provide clinicians with valuable insights for implementing frailty intervention strategies.

METHODS

A cross-sectional study was conducted with 375 elderly patients who underwent abdominal surgery at a tertiary hospital in Chengdu, Sichuan Province, between October 2021 and August 2022. The data were collected using various instruments, including a general information questionnaire, the FRAIL frailty assessment scale, the West China Mood Index, the Nutritional Risk Screening 2002, and the Barthel Index. Multivariate logistic regression analysis was conducted to investigate the factors influencing preoperative frailty in this patient population.

RESULTS

Among the 375 elderly patients who underwent abdominal surgery, 59 were identified as having preoperative frailty, resulting in a preoperative frailty rate of 15.7%. Multivariate analysis revealed that multiple chronic diseases, malnutrition risk, and limited ability to perform daily life activities were significant associated factors for preoperative frailty in these patients (P < 0.05).

CONCLUSION

Clinical medical staff should prioritize the preoperative frailty assessment of elderly patients undergoing abdominal surgery, particularly those with multiple chronic diseases, malnutrition risk, and limited daily life activities.

摘要

背景

本研究旨在调查接受腹部手术的老年患者术前的衰弱状况，并确定其相关因素。本研究的目的是为临床医生实施衰弱干预策略提供有价值的见解。

方法

对2021年10月至2022年8月期间在四川省成都市一家三级医院接受腹部手术的375例老年患者进行了横断面研究。使用多种工具收集数据，包括一般信息问卷、FRAIL衰弱评估量表、华西情绪指数、营养风险筛查2002和Barthel指数。进行多因素逻辑回归分析以调查影响该患者群体术前衰弱的因素。

结果

在375例接受腹部手术的老年患者中，59例被确定为术前衰弱，术前衰弱率为15.7%。多因素分析显示，多种慢性病、营养不良风险和日常生活活动能力受限是这些患者术前衰弱的显著相关因素（P<0.05）。

结论

临床医务人员应优先对接受腹部手术的老年患者进行术前衰弱评估，尤其是那些患有多种慢性病、有营养不良风险和日常生活活动受限的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bca/11656996/676555dd26f4/13741_2024_476_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bca/11656996/676555dd26f4/13741_2024_476_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bca/11656996/676555dd26f4/13741_2024_476_Fig1_HTML.jpg

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