Frailty and Geriatric Syndromes in Vascular Surgical Ward Patients

摘要: Background Preoperative frailty is an important predictor of poor outcomes but the relationship between and geriatric syndromes less clear. The aims this study were to describe prevalence incidence in a cohort older vascular surgical ward patients, investigate association other key risk factors with occurrence one or more (delirium, functional decline, falls, and/or pressure ulcers) two hospital (acute length stay discharge destination). Methods This prospective was conducted tertiary teaching Brisbane, Australia. Consecutive patients aged ≥65 years, admitted for ≥72 hr, eligible inclusion. Frailty defined as dependency, cognitive impairment, nutritional impairment at admission. Delirium identified using Confusion Assessment Method validated chart extraction tool. Functional decline from admission daily nursing documentation activities living. Falls according medical record cross-checked incident reporting system. Pressure ulcers, acute stay, destination by record. Risk associated syndromes, assessed multivariable logistic regression models. Results Of 110 participants, 43 (39%) frail occurred 40 (36%). 25% followed delirium (20%), ulcers (12%), falls (4%). In analysis, [odds ratio (OR) 6.7, 95% confidence interval (CI) 2.0–22.1, P  = 0.002], nonelective (OR 7.2, CI 2.2–25.3,  = 0.002), higher physiological severity 5.5, 1.1–26.8,  = 0.03), operative 4.6, 1.2–17.7,  = 0.03) increased likelihood any syndrome. longer 2.6, 1.0–6.8,  = 0.06) 4.2, 1.2–13.8,  = 0.02). Nonelective significantly level care 5.3, 1.3–21.6, Conclusions common elderly patients. Frail admissions likely develop have be discharged care.