The impact of frailty on acute care general surgery patients: A systematic review.
Aged
Aged, 80 and over
Critical Care
/ statistics & numerical data
Critical Care Outcomes
Female
Frail Elderly
/ statistics & numerical data
Hospitalization
Humans
Length of Stay
/ statistics & numerical data
Male
Mortality
/ trends
Observational Studies as Topic
Patient Discharge
/ trends
Postoperative Complications
/ epidemiology
Prevalence
Quality Assurance, Health Care
/ methods
Retrospective Studies
Surgical Procedures, Operative
/ mortality
Journal
The journal of trauma and acute care surgery
ISSN: 2163-0763
Titre abrégé: J Trauma Acute Care Surg
Pays: United States
ID NLM: 101570622
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
pubmed:
7
11
2018
medline:
26
5
2020
entrez:
7
11
2018
Statut:
ppublish
Résumé
Frailty may predict negative health outcomes more accurately than chronological age alone. This review examines evidence for the impact of frailty on adverse outcomes in patients admitted with an acute care general surgery (ACS) diagnosis. A systematic literature search for studies reporting frailty and outcomes after admission with an ACS diagnosis was performed. We searched PubMed and SCOPUS from inception until September 2017. A total of 8,668 records were screened, of which seven studies examined the relationship between frailty and outcomes in ACS patients. Frailty was associated with higher 30-day mortality patients (odds ratio, 3.04; 95% confidence interval, 2.67-3.46; p < 0.01), postoperative complications, length of stay, institutional discharge, and critical care admission. There is emerging evidence that frailty is associated with worse outcomes in patients with an unplanned admission due to an ACS diagnosis. Further investigation is warranted with regard to how frailty may impact patients with an acute illness more severely. Systematic review, level III.
Sections du résumé
BACKGROUND
Frailty may predict negative health outcomes more accurately than chronological age alone. This review examines evidence for the impact of frailty on adverse outcomes in patients admitted with an acute care general surgery (ACS) diagnosis.
METHODS
A systematic literature search for studies reporting frailty and outcomes after admission with an ACS diagnosis was performed. We searched PubMed and SCOPUS from inception until September 2017.
RESULTS
A total of 8,668 records were screened, of which seven studies examined the relationship between frailty and outcomes in ACS patients. Frailty was associated with higher 30-day mortality patients (odds ratio, 3.04; 95% confidence interval, 2.67-3.46; p < 0.01), postoperative complications, length of stay, institutional discharge, and critical care admission.
CONCLUSIONS
There is emerging evidence that frailty is associated with worse outcomes in patients with an unplanned admission due to an ACS diagnosis. Further investigation is warranted with regard to how frailty may impact patients with an acute illness more severely.
LEVEL OF EVIDENCE
Systematic review, level III.
Identifiants
pubmed: 30399129
doi: 10.1097/TA.0000000000002084
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM