Significance of preoperative frailty assessment based on The Short Physical Performance Battery(SP-PB)in predicting postoperative complications of digestive tract malignant tumors in the elderly
Significance of preoperative frailty assessment based on The Short Physical Performance Battery(SP-PB)in predicting postoperative complications of digestive tract malignant tumors in the elderly
Objective The Short Physical Performance Battery(SPPB)scale was used to evaluate the preoperative frailty and its predictive effect on postoperative complications in elderly patients with digestive tract malignant tumors.Methods A total of 82 elderly patients with digestive tract malignant tumors treated in the Department of General surgery of Baotou Central Hospital were selected as the object of study.According to the SPPB scale,the patients were divided in-to frailty and non-frailty patients.The clinical data of patients were collected and the postoperative complications were eval-uated by the Clavien-Dindo classification system.Spearman rank correlation analysis was used to analyze the correlation between preoperative frailty and postoperative complications.Logistic regression was used to analyze the risk factors of postoperative complications in elderly patients with digestive tract malignant tumors.The Receiver Operating Characteris-tic(ROC)curve was constructed to evaluate the predictive value of preoperative frailty on postoperative complications.Re-sults The incidence of complications in frailty patients was 77.1%,which was higher than 20.6%in non-frailty pa-tients.The results of Spearman rank correlation analysis showed that preoperative frailty was positively correlated with post-operative complications(r=0.558,P<0.001).Logistic multivariate regression analysis showed that preoperative frailty(OR=8.502,95%CI:2.202-32.820,P=0.002)was a risk factor for postoperative complications in elderly patients with digestive tract malignant tumors.The results of ROC curve showed that the area under the curve for predicting postopera-tive complications in elderly patients with digestive tract malignant tumor was 0.774(95%CI:0.564-0.798).Conclu-sions Preoperative frailty is an independent risk factor for postoperative complications in elderly patients with digestive tract malignant tumor.Preoperative assessment of frailty with SPPB is helpful to reduce the incidence of complications in patients.
关键词
简易体能状况量表/衰弱/老年人/消化道恶性肿瘤/并发症
Key words
short physical performance battery/frailty/elderly/digestive tract malignant tumor/complication
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