Frailty linked to increased odds of complications post-common ambulatory surgery

Frail patients are more likely to develop complications after outpatient hernia, breast, thyroid or parathyroid surgery, according to a study published in JAMA Surgery.

Researchers examined 140,828 patients who underwent ambulatory and 23-hour stay hernia, breast, thyroid or parathyroid surgery. Frailty is a measure of decreased physiological reserve.

Researchers found 1.7 percent of patients experienced a perioperative complication and 0.7 percent experienced serious perioperative complications. Frailty was associated with an increased likelihood of complications at 30 days. Additionally, researchers found patients with two to three frailty traits had more than two times the odds of serious complications.

"Informed consent should be adjusted based on frailty to ensure that patients have an accurate assessment of their risk when making decisions about whether to undergo surgery," the authors concluded.

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