Initial clinical evaluation of preoperative frailty in surgical patients with Stanford type A acute aortic dissection
| Autor: | Hiroshi Furukawa, Takahiko Yamasawa, Yuji Kanaoka, Kazuo Tanemoto, Naoki Yamane, Takeshi Honda |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Frail Elderly Kaplan-Meier Estimate 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors Internal medicine Activities of Daily Living medicine Humans Postoperative Period Stroke Geriatric Assessment Aged Retrospective Studies Aortic dissection Aged 80 and over Frailty business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Patient Discharge Cardiac surgery Aortic Aneurysm Survival Rate Aortic Dissection 030228 respiratory system Cardiothoracic surgery Ambulatory Acute Disease Surgery Female Cardiology and Cardiovascular Medicine business Body mass index Vascular Surgical Procedures Kidney disease |
| Zdroj: | General thoracic and cardiovascular surgery. 67(2) |
| ISSN: | 1863-6713 |
| Popis: | We retrospectively assessed the initial clinical role of preoperative frailty in surgical patients with Stanford type A acute aortic dissection (AAAD). One hundred and fourteen consecutive patients who underwent emergent or urgent surgical interventions for AAAD in our institute between April 2000 and March 2016 participated in this retrospective study. Patients with more than three of the following six modalities were defined as being frail: age older than 75 years, preoperative requirement of assistance in daily living, body mass index less than 18.5 kg/m2, female, history of major stroke, and chronic kidney disease greater than class 3b. Twenty-three patients (20.2%) were diagnosed with frailty (group F), while 91 patients (79.8%) were not (group N). Early clinical outcomes, major postoperative complications, postoperative recovery of activity, and early or mid-term survival were evaluated. Although early clinical outcomes and the prevalence of major postoperative complications were similar in both groups, postoperative activity of daily living (ADL), such as the rate of being ambulatory on discharge (p |
| Databáze: | OpenAIRE |
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