Secanho Murilo Sgarbi, Rajaram Rohan, Villas Boas Paulo José Fortes, Palhares Neto Aristides Augusto, Hamamoto Filho Pedro Tadao
From the Division of Plastic and Reconstructive Surgery, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil.
Department of Plastic and Reconstructive Surgery, Austin Health, Heidelberg, Victoria, Australia.
Plast Reconstr Surg Glob Open. 2025 Mar 31;13(3):e6641. doi: 10.1097/GOX.0000000000006641. eCollection 2025 Mar.
An aging population brings with it an older cohort of patients undergoing plastic surgery. Identifying and understanding risk factors related to surgical outcomes is critical. The literature diverges regarding the impact of age. Associated with age is the modifiable condition of frailty. This is a retrospective case control study examining the effect of age and frailty on perioperative outcomes in the plastic surgery setting.
A cohort of elderly patients undergoing plastic surgery at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2013 and 2020 was collected to medical chart review. The independent variables analyzed were age, sex, comorbidities, surgery performed, and modified 5-item frailty index. The outcomes evaluated were perioperative and postoperative complications, rehospitalization within 1 month, and mortality within 1 month after surgery.
We identified 229 patients, with a mean age of 70.1 ± 8.8 years. The majority were women (54.6%). The most prevalent comorbidities were systemic arterial hypertension (62.4%) and smoking (27.5%). Frailty score (modified 5-item frailty index) of 2 or more impacted readmission at 30 days ( = 0.012). A total of 43 (18.8%) patients were 80 years of age or older, and 28 (65.1%) were women. There were no statistical differences among the surgical outcomes among octogenarians and the younger group.
Frail elderly patients had higher readmission rate at 30 days of follow-up. In our cohort, frailty score was more effectively than age in predicting poorer postoperative outcomes.
人口老龄化使得接受整形手术的患者群体年龄更大。识别并理解与手术结果相关的风险因素至关重要。关于年龄的影响，文献观点不一。与年龄相关的是可改变的虚弱状况。这是一项回顾性病例对照研究，旨在探讨年龄和虚弱对整形手术围手术期结果的影响。
收集2013年至2020年期间在Botucatu医学院临床医院接受整形手术的老年患者队列，进行病历审查。分析的自变量包括年龄、性别、合并症、所进行的手术以及改良的5项虚弱指数。评估的结果包括围手术期和术后并发症、术后1个月内再次入院情况以及术后1个月内的死亡率。
我们确定了229例患者，平均年龄为70.1±8.8岁。大多数为女性（54.6%）。最常见的合并症是系统性动脉高血压（62.4%）和吸烟（27.5%）。虚弱评分（改良的5项虚弱指数）为2分或更高会影响30天的再次入院率（P = 0.012）。共有43例（18.8%）患者年龄在80岁及以上，其中28例（65.1%）为女性。八旬老人组和较年轻组的手术结果之间无统计学差异。
虚弱的老年患者在随访30天时再次入院率较高。在我们的队列中，虚弱评分在预测较差的术后结果方面比年龄更有效。
