Frailty Predicts Loss of Independence After Liver Surgery

Faisal S Jehan; Viraj Pandit; Mohammad Khreiss; Bellal Joseph; Hassan Aziz

doi:10.1007/s11605-022-05513-8

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Frailty Predicts Loss of Independence After Liver Surgery

Journal article

Peer reviewed

Frailty Predicts Loss of Independence After Liver Surgery

Faisal S Jehan, Viraj Pandit, Mohammad Khreiss, Bellal Joseph and Hassan Aziz

Journal of gastrointestinal surgery, Vol.26(12), pp.2496-2502

12/01/2022

DOI: 10.1007/s11605-022-05513-8

PMID: 36344796

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Abstract

Loss of independence (LOI) is a significant concern in patients undergoing liver surgery. Although the risks of morbidity and mortality have been well studied, there is a dearth of data regarding the risk of LOI. Therefore, this study aimed to assess predictors of LOI after liver surgery. This study utilized the National Surgical Quality Improvement Program (NSQIP) data from 2015 to 2018 from a retrospective cohort study of patients undergoing liver resections. LOI was defined as the change from preoperative functional independence to the postoperative discharge requirement in a post-care facility. Frailty was defined using the modified frailty index-5 (mFI-5). A total of 22,463 patients underwent hepatectomy via the NSQIP during the study period. In total, 22,067 participants were included in the analysis. A total of 4.7% of patients had LOI after surgery and were discharged to a rehabilitation center or nursing facility. mFI-1 was an independent predictor of LOI (OR:2.2 [1.9-4.3]). However, the odds for LOI were higher (OR:5.1[2.5-8.2]) in patients with mFI ≥ 2. LOI is an important outcome of liver surgery. Frailty is a predictor of LOI and should be used as a guide to inform patients about the potential outcomes.

Frailty - complications

Hepatectomy - adverse effects

Humans

Liver

Postoperative Complications - epidemiology

Postoperative Complications - etiology

Retrospective Studies

Details

Title: Subtitle: Frailty Predicts Loss of Independence After Liver Surgery
Creators: Faisal S Jehan - Westchester Medical Center
Viraj Pandit - Fresno VA Medical Center
Mohammad Khreiss - University of Arizona
Bellal Joseph - University of Arizona
Hassan Aziz - University of Iowa Hospitals and Clinics
Resource Type: Journal article
Publication Details: Journal of gastrointestinal surgery, Vol.26(12), pp.2496-2502
DOI: 10.1007/s11605-022-05513-8
PMID: 36344796
ISSN: 1091-255X
eISSN: 1873-4626
Language: English
Date published: 12/01/2022
Academic Unit: Surgery
Record Identifier: 9984701644602771

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