Murilo Sgarbi Secanho, Rohan Rajaram, Paulo José Fortes Villas Boas, Aristides Augusto Palhares Neto, Pedro Tadao Hamamoto Filho
{"title":"The Impact of Frailty and Age on Older Patients Undergoing Plastic Surgery at a Quaternary Center in Brazil.","authors":"Murilo Sgarbi Secanho, Rohan Rajaram, Paulo José Fortes Villas Boas, Aristides Augusto Palhares Neto, Pedro Tadao Hamamoto Filho","doi":"10.1097/GOX.0000000000006641","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>An aging population brings with it an older cohort of patients undergoing plastic surgery. Identifying and understanding risk factors related to surgical outcomes is critical. The literature diverges regarding the impact of age. Associated with age is the modifiable condition of frailty. This is a retrospective case control study examining the effect of age and frailty on perioperative outcomes in the plastic surgery setting.</p><p><strong>Methods: </strong>A cohort of elderly patients undergoing plastic surgery at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2013 and 2020 was collected to medical chart review. The independent variables analyzed were age, sex, comorbidities, surgery performed, and modified 5-item frailty index. The outcomes evaluated were perioperative and postoperative complications, rehospitalization within 1 month, and mortality within 1 month after surgery.</p><p><strong>Results: </strong>We identified 229 patients, with a mean age of 70.1 ± 8.8 years. The majority were women (54.6%). The most prevalent comorbidities were systemic arterial hypertension (62.4%) and smoking (27.5%). Frailty score (modified 5-item frailty index) of 2 or more impacted readmission at 30 days (<i>P</i> = 0.012). A total of 43 (18.8%) patients were 80 years of age or older, and 28 (65.1%) were women. There were no statistical differences among the surgical outcomes among octogenarians and the younger group.</p><p><strong>Conclusions: </strong>Frail elderly patients had higher readmission rate at 30 days of follow-up. In our cohort, frailty score was more effectively than age in predicting poorer postoperative outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6641"},"PeriodicalIF":1.5000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957637/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006641","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
The Impact of Frailty and Age on Older Patients Undergoing Plastic Surgery at a Quaternary Center in Brazil.
Background: An aging population brings with it an older cohort of patients undergoing plastic surgery. Identifying and understanding risk factors related to surgical outcomes is critical. The literature diverges regarding the impact of age. Associated with age is the modifiable condition of frailty. This is a retrospective case control study examining the effect of age and frailty on perioperative outcomes in the plastic surgery setting.
Methods: A cohort of elderly patients undergoing plastic surgery at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2013 and 2020 was collected to medical chart review. The independent variables analyzed were age, sex, comorbidities, surgery performed, and modified 5-item frailty index. The outcomes evaluated were perioperative and postoperative complications, rehospitalization within 1 month, and mortality within 1 month after surgery.
Results: We identified 229 patients, with a mean age of 70.1 ± 8.8 years. The majority were women (54.6%). The most prevalent comorbidities were systemic arterial hypertension (62.4%) and smoking (27.5%). Frailty score (modified 5-item frailty index) of 2 or more impacted readmission at 30 days (P = 0.012). A total of 43 (18.8%) patients were 80 years of age or older, and 28 (65.1%) were women. There were no statistical differences among the surgical outcomes among octogenarians and the younger group.
Conclusions: Frail elderly patients had higher readmission rate at 30 days of follow-up. In our cohort, frailty score was more effectively than age in predicting poorer postoperative outcomes.
期刊介绍：
Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
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