Japanese Journal of Acute Care Surgery
Online ISSN : 2436-102X
Frailty screening of abdominal emergency general surgery
Tasuku MiyakeAtsuo MurataTomoya MatsudaMiyako KojyoHayato TokudaKaori Okugawa
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2020 Volume 10 Issue 1 Pages 28-32

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Abstract

PurposeExamination of the relationship between prognosis of abdominal emergency general surgery (AEGS) and flail. MethodWe defined frailty as one or more items applied following; Hypertension, ischemic heart disease, cancer bearing condition, Serum Alb value<3.0g/dL, Elderly Daily Living Independence≧A1, Dementia Elderly Daily Living Independence Judgment≧IIa. We examined the comparative prognosis of the Frailty group (F group) and the NonFrailty group (NF group), and the number of Frailty hits and the prognosis, for AEGS aged 65 years or older in our hospital between January 2015 and December 2017. 151 cases (84.8%) in the F group and 27 cases (15.2%) in the NF group. Postoperative complications were 59.6% in the F group, 29.6% in the NF group (p<0.01). The one-year survival rate (1yOS) was 70% in the F group and 100% in the NF group (p<0.01). When the number of applicable Frailty items was 3 or more, the prognosis was significantly worse (p<0.01) compared with the case of 0-2 items (1yOS: 60.8%VS 84.2%). ConclusionThe significance of the AEGS Frailty evaluation was suggested.

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© 2020 The Japanese Society for the Acute Care Surgery
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