Índice de fragilidad modificado e hipoalbuminemia como pronosticadores de resultados adversos en adultos mayores que se presentan a la unidad de cirugía general aguda

Translated title of the contribution: Modified frailty index and hypoalbuminemia as predictors of adverse outcomes in older adults presenting to acute general surgical unit

Angela Abraham, Sally Burrows, Neelankal John Abraham, Bhaskar Mandal

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Introduction: Health professionals are progressively drawing on the concept of frailty as a determinant of adverse surgical outcomes in of older adults. We aimed to determine the prevalence of frailty and the correlation between frailty and mortality among older adults admitted to the acute surgical unit. Materials and methods: This prospective cohort study was conducted in the acute general surgical unit over a two month period. We recruited 150 consecutive patients aged 65yrs and above. The modified frailty index was employed to measure frailty and the albumin levels on admission were obtained from electronic medical records. The patients were followed up for a period of thirty days. Results: We found that more than 40% of the older adults admitted to the acute general surgical unit were frail and frailty was associated with higher rate of mortality at 30 days. Hypoalbuminemia was associated with a longer length of stay, higher rate of complications, and an increased likelihood of discharge to a rehabilitation facility. There was also a significant univariate correlation between frailty and the presence of hypoalbuminemia on admission. Conclusion: Frailty and hypoalbuminemia are common in older general surgical patients and predict the likelihood of some of the adverse outcomes relevant to older adults and health economy such as mortality, increased length of stay, rate of complications, and likelihood of discharge to a rehabilitation facility. Further studies should investigate a possible causal association between frailty and low albumin levels in an acute surgical setting.

Translated title of the contributionModified frailty index and hypoalbuminemia as predictors of adverse outcomes in older adults presenting to acute general surgical unit
Original languageSpanish
Pages (from-to)70-75
JournalRevista Espanola de Geriatria y Gerontologia
Volume55
Issue number2
DOIs
Publication statusPublished - Mar 2019

Fingerprint

Dive into the research topics of 'Modified frailty index and hypoalbuminemia as predictors of adverse outcomes in older adults presenting to acute general surgical unit'. Together they form a unique fingerprint.

Cite this