Study: Preoperative Frailty in Older Surgical Patients Linked to Postoperative Delirium

Preoperative frailty in older surgical patients is associated with early postoperative delirium, according to a study published in the March 2011 issue of Anesthesia & Analgesia.

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The study, led by researchers at the University of California, San Francisco, investigated whether preoperative frailty in older, non-cardiac surgical patients provides information about the development of postoperative delirium. One-third of patients had a frailty score equal or greater than three, which is considered “frail” in previous research. Twenty-five percent of patients developed postoperative delirium.

According to the study, only preoperative symptoms of depression and the frailty score are independently associated with the development of postoperative delirium. Other factors, such as age, activities of daily living dependence, instrumental activities of daily living dependence and cognitive functioning did not contribute significantly to the prediction of postoperative delirium.

Read the abstract on the study in Anesthesia & Analgesia.

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