Australasian Journal on Ageing最新文献

{"title":"Understanding hearing health-care access in Australia: Users' perspectives","authors":"Shermin Lim,&nbsp;Jessica Turner,&nbsp;Diana Tang,&nbsp;Kerry Sherman,&nbsp;Kompal Sinha,&nbsp;Sharad Chawla,&nbsp;Simon Carney,&nbsp;Giriraj Singh Shekhawat,&nbsp;Bamini Gopinath","doi":"10.1111/ajag.70029","DOIUrl":"https://doi.org/10.1111/ajag.70029","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The aim of this qualitative study was to evaluate the barriers and enablers to current hearing health-care services in Australia for middle-aged and older adults who use cochlear implants (CI) and/or hearing aids.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adults aged 40 years and older from the Hearing impairment Adults: a Longitudinal Outcomes Study (HALOS), with adequate English language skills, were invited to participate in a semi-structured interview about their hearing intervention journey. A thematic analysis was applied to the interview transcripts via inductive coding.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-one hearing device users (15 hearing aid users, 9 CI users and 7 bimodal users) across Australia enrolled in the interview. Themes identified include hearing care management, alternative support services, patient self-management and accessibility to hearing services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings indicated the need for primary health and hearing care professionals to reconsider their clinical approach with individuals with hearing loss. Rehabilitation, primary health and hearing care services ought to work together to create an integrated hearing care journey for patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143857020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Routine comprehensive geriatric assessment is associated with improved detection of cognitive disorders in older people with giant cell arteritis","authors":"Heather Jones,&nbsp;Maxine Isbel,&nbsp;Kristie Harper,&nbsp;Angela Jacques,&nbsp;Alexander Chua,&nbsp;David Ng,&nbsp;Sarah Bernard","doi":"10.1111/ajag.70020","DOIUrl":"https://doi.org/10.1111/ajag.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Giant cell arteritis (GCA) carries an increased risk of stroke and blindness. International guidelines recommend older people receive routine comprehensive geriatric assessment (RCGA) during unplanned hospital admissions to improve health outcomes. This quality improvement study addressed the need for RCGA in older people with GCA at an Australian tertiary hospital. The aims of this study were to co-design, implement and evaluate a referral process for RCGA for hospitalised people 65 years or older with a new diagnosis of GCA and evaluate changes to the identification and management of falls and cognitive disorders (delirium, dementia and mild cognitive impairment).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Hospital stakeholders co-designed an RCGA referral pathway as a quality improvement change initiative. An observational cohort design measured implementation and outcomes. Consecutive patients aged 65 years or older with a new diagnosis of GCA were recruited for 15 months (<i>n</i> = 18), and outcomes were compared with a retrospective cohort of similar patients (<i>n</i> = 55). Descriptive summaries were compared between groups using non-parametric tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Following implementation, all eligible patients received both RCGA and individualised interventions. Forty-four per cent of patients in the RCGA group were diagnosed with delirium, dementia or mild cognitive impairment compared to 18% in the usual care group (<i>p</i> = .03).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In this small population, implementation of an RCGA pathway was associated with increased detection of delirium, mild cognitive impairment and dementia, and allowed for implementation of individualised interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Book Award, 2024","authors":"Yvonne Wells","doi":"10.1111/ajag.70026","DOIUrl":"https://doi.org/10.1111/ajag.70026","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a dementia care and support needs framework for Culturally and Linguistically Diverse populations: A whole-of-community co-design approach","authors":"Nina Bala,&nbsp;Biljana Stanoevska,&nbsp;John Paul Troiani,&nbsp;Xinxia Wang,&nbsp;Nadine Veerhuis,&nbsp;Leissa Pitts,&nbsp;Victoria Traynor","doi":"10.1111/ajag.70031","DOIUrl":"https://doi.org/10.1111/ajag.70031","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Older individuals with dementia and their families from CALD backgrounds face a ‘triple jeopardy’ due to the combination of dementia, caregiving challenges and cultural stigma. Despite the growing need for culturally responsive dementia care, existing services do not adequately address the specific concerns of Culturally and Linguistically Diverse (CALD) communities. This study explored the experiences of two CALD communities to inform the development of a culturally tailored dementia care support framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a whole-of-community co-design approach, integrating community-based participatory research and human-centred design principles. A total of 36 participants, including nine individuals with dementia and 27 family caregivers from the Macedonian and Italian communities in the Illawarra Shoalhaven region of NSW, Australia, collaborated with ADHERe researchers and the Multicultural Health Service. Data were collected through co-designed focus groups and interviews and analysed using thematic analysis. Participant feedback was regularly incorporated to ensure the framework reflected their lived experiences and needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key barriers to dementia care included emotional and psychological strain contributing to caregiver burden, social isolation limiting peer support, language difficulties hindering communication with health-care providers and cultural misunderstanding impacting service uptake. Participants emphasised the importance of face-to-face interactions, culturally relevant educational programs and practical guidance from health-care professionals to improve dementia care and support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlighted the need for a culturally tailored, community-driven dementia care framework. Piloting a dementia education program with the Macedonian and Italian communities will provide valuable insights for expanding support to other CALD groups, promoting more inclusive and accessible dementia care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 2","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Australasian Journal on Ageing would like to thank the following reviewers for their time and assistance in 2024","authors":"","doi":"10.1111/ajag.70018","DOIUrl":"https://doi.org/10.1111/ajag.70018","url":null,"abstract":"","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143690196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of geriatricians in the emergency department: A prospective observational study","authors":"Anvesh Jackson,&nbsp;Reza Pazhang,&nbsp;Rosa C. Gualano,&nbsp;Helen Psihogios,&nbsp;Rachel Rosler,&nbsp;Sumitha Bhaskaran","doi":"10.1111/ajag.13405","DOIUrl":"https://doi.org/10.1111/ajag.13405","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The primary aim of this study was to evaluate the impacts of an emergency department (ED)-embedded geriatric service in redirecting older adults from an acute inpatient hospital admission through a targeted assessment by a geriatrician in ED (GED). Secondary aims were to describe the utilisation of local community health and outpatient services to successfully redirect older patients from an acute hospital admission and determine the re-attendance rates of patients to ED within 28 days after initial presentation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This was a prospective observational study performed in two stages due to COVID-19-related interruption. All referrals by ED physicians related to older adults with geriatric syndromes were reviewed by GED. Of these patients, those with a planned disposition for an inpatient admission were included in the primary and secondary analysis of this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 273 patients were seen by GED. More than half of older adults (<i>n</i> = 147) planned for inpatient admission were directly discharged from ED. The failure rate, defined by older adults re-presenting to ED within 28 days with the same initial complaint and needing hospital admission, totalled 4%. Comorbid frailty, cognitive impairment and polypharmacy were common.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Evaluation of older adults presenting to ED by a geriatrician facilitates safe hospital admission prevention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding factors influencing personal care workers' intentions to stay: A systematic integrative review","authors":"Britt O'Keefe,&nbsp;Eva Yuen,&nbsp;Susan Perlen,&nbsp;Briony Dow,&nbsp;Alison M. Hutchinson","doi":"10.1111/ajag.70017","DOIUrl":"https://doi.org/10.1111/ajag.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically synthesise existing literature to identify influences on personal care workers' intentions to stay when employed in residential aged care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic integrative review was conducted, searching relevant literature across multiple databases, including Business Source Complete, CINAHL Complete, Medline Complete and APA PsycInfo via the EBSCOhost platform and EMBASE (excluding Medline). Articles were eligible for inclusion if they were peer-reviewed, published in English between 1997 and 2024, and focused on factors influencing personal care workers' intentions to stay in residential aged care. The methodological quality of the selected articles was assessed using the Mixed Methods Appraisal Tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review included six articles published between 2007 and 2021, reporting on quantitative (<i>n</i> = 4), qualitative (<i>n</i> = 1) and mixed methods (<i>n</i> = 1) research, with the final study published in 2021. Five employee-related and employer-related themes emerged as important factors that influence personal care workers' intentions to stay: (1) individual characteristics and resilience, (2) career growth and rewards, (3) employment stability and economic workforce pressures, (4) satisfaction and fulfilment in professional caregiving and (5) organisational support and collaborative work environment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review identified key factors influencing personal care workers' intentions to stay, offering actionable insights to inform the development of evidence-based strategies aimed at strengthening workforce retention. Addressing these factors is critical to meeting the needs of an ageing population and ensuring the provision of high-quality care. Furthermore, the review underscores the multifaceted determinants shaping these intentions, emphasising the importance of psychological, social and organisational factors to enhance retention efforts.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring ageism in medical education: A scoping review of the educational factors affecting the attitudes of medical students and junior doctors towards older inpatients","authors":"Anna Grosse,&nbsp;Kristina Kokorelias","doi":"10.1111/ajag.70016","DOIUrl":"https://doi.org/10.1111/ajag.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Ageism is a significant issue in health care and exists among medical learners in the teaching hospital setting. To highlight potential strategies and interventions that may address ageism among medical students and junior doctors, we aimed to explore and understand the educational factors within hospital training environments that influence the attitudes of medical students and junior doctors towards older inpatients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review of academic peer-reviewed English literature was conducted using seven academic databases. The first 100 results of an advanced Google Scholar search were also screened. One researcher screened identified articles and extracted relevant data from those that were included. Two researchers analysed the data using a modified content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 18 articles were included for review, published between 1982 and 2023, mostly from English-speaking countries. The articles described factors contributing to both positive and negative attitudes of medical students and junior doctors towards older inpatients. Four themes regarding these attitudes were identified: (1) the intersectionality of patient age, comorbidity and complex care needs; (2) the hospital environment; (3) clinical interactions; and (4) training in and exposure to Geriatric Medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There are several educational factors in the hospital training environment that affect the attitudes of medical students and junior doctors towards older inpatients. Exposure to and training in Geriatric Medicine may promote more positive attitudes towards older inpatients, but further research is required to determine whether this is of clinical significance.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143632750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Australia's new guidelines for appropriate psychotropic medication use in residential aged care: Applying the Consolidated Framework For Implementation Research","authors":"Shakti Shrestha,&nbsp;Amanda J. Cross,&nbsp;Michelle Steeper,&nbsp;Angelita Martini,&nbsp;Dayna Cenin,&nbsp;Jertrude Smith,&nbsp;Francesca Glamorgan,&nbsp;Constance Dimity Pond,&nbsp;J. Simon Bell,&nbsp;Adam La Caze","doi":"10.1111/ajag.70013","DOIUrl":"https://doi.org/10.1111/ajag.70013","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Accumulating evidence about psychotropic medication-related adverse events has had minimal apparent impact on overall rates of psychotropic medication use across Australian residential aged care facilities (RACFs). Australia's new Clinical Practice Guidelines for the Appropriate Use of Psychotropic Medications in People Living with Dementia and in Residential Aged Care were released in April 2023. This study aimed to identify contextual factors to inform strategies to implement the new Guidelines in Australian RACFs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A qualitative study using semi-structured interviews was conducted with the participants representing four Australian residential aged care organisations. The interviews were recorded, transcribed verbatim, coded and thematically analysed. Factors were deductively coded using the Consolidated Framework for Implementation Research (CFIR) into three domains: outer setting, inner setting and individuals, which subsequently informed the fourth CFIR domain—implementation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 33) were aged care residents and their family members, occupational therapists, nurses, nurse practitioners, general practitioners, geriatricians and pharmacists. The outer setting factors included regulatory changes, increased workload and increased workforce demand. The inner setting factors were health digitalisation, governance and compliance culture. Individual factors included mindset towards psychotropics and staff capabilities. The implementation process domain comprised four key strategies—recognising workforce pressures, leveraging recent efforts, supporting local use of data and supporting team functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These outer setting, inner setting and individual factors represent an interconnected framework of potentially modifiable factors to guide the targeted implementation of Australia's new Guidelines. These four key strategies provide new approaches to support the translation of the Guidelines.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajag.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship of frailty and postoperative complications in older people who underwent radical surgery for a gastrointestinal tumour","authors":"Yunsong Li,&nbsp;Chunwei Peng,&nbsp;Bingbing Zou","doi":"10.1111/ajag.70012","DOIUrl":"https://doi.org/10.1111/ajag.70012","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Frailty is associated with postoperative complications in older people with gastrointestinal malignancies. However, the relationship between frailty and complication severity, as well as the risk factors for complications after radical surgery, is still unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Frailty was assessed using a modified Frailty Index (mFI) score, and the correlation between frailty and postoperative complications was compared between frail and non-frail groups. Complication severity was evaluated using the Clavien–Dindo (C-D) system, and independent risk factors for postoperative complications were identified through odds ratios (OR) using multivariate logistic analysis. The participants were divided into non-frailty and frailty groups based on the mFI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The frailty group had fewer patients aged 60–69 years (19% vs. 31%, <i>p</i> = .03) and a higher incidence of moderate CCI (52% vs. 69%, <i>p</i> = .001). Frailty was strongly linked to postoperative complications, including pulmonary infections (16% vs. 8%, <i>p</i> = .009), pulmonary embolism (8% vs. 3%, <i>p</i> = .02) and acute kidney injury (14% vs. 6%, <i>p</i> = .005). Older frail patients experienced more severe complications, with higher rates of C-D grade III (23% vs. 10%, <i>p</i> = .004) and grade V (6% vs. 1%, <i>p</i> = .004). Multivariate analysis found that frailty (OR: 1.492, <i>p</i> = .02), age greater than 70 years (OR: 1.239, <i>p</i> = .04) and severe comorbidities increased the OR of severe complications. Additionally, frail patients had poorer recovery, with higher in-hospital mortality (4% vs. 0%, <i>p</i> = .01), more ICU readmissions (11% vs. 3%, <i>p</i> = .005), longer stays (9 vs. 8 days, <i>p</i> &lt; .001) and higher costs (48,035 RMB vs. 43,792 RMB, <i>p</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Older frail adults experienced more severe complications and had worse postoperative recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55431,"journal":{"name":"Australasian Journal on Ageing","volume":"44 1","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143612458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}