Preoperative frailty linked to poorer surgery outcomes in brain tumor resection: Study

Results highlighted some key facts.

• 659 patients met inclusion criteria for our analysis. There were 398 (60.4%) non-frail (modified frailty index = 0), 237 (36.0%) pre-frail (modified frailty index = 1–2), and 24 (3.6%) frail (modified frailty index ≥ 3) patients.
• Of these, 124 (18.8%) developed postoperative delirium. In adjusted analyses, frailty was independently associated with postoperative delirium (odds ratio 1.7, 95% confidence interval 1.0–2.7, P = .032).
• Frail patients had longer length of hospital stay and higher total costs than non-frail patients.
• Adjusted analyses showed an independent connection of frailty with postoperative delirium.
• Longer length of hospital stay and higher total costs were noted in frail patients vs non-frail patients.

" Overall, findings demonstrated a relationship of preoperative frailty with postoperative delirium, length of hospital stay, as well as with total expenses in patients receiving elective brain tumor resection. Preoperative frailty evaluation as well as suitable management approaches are recommended to be included in the perioperative management of postoperative delirium."the team opined.

For full article follow the link: https://doi.org/10.1016/j.surg.2021.05.048

Source : Surgery