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Article Abstract
This retrospective cohort study aimed to evaluate preoperative frailty in older adults undergoing brain tumor surgery using the laboratory-based frailty index (FI-LAB) and its association with clinical outcomes. Data were from electronic medical records of individuals aged ≥ 65 years who had brain tumor surgery between 2015 and 2022 at a general hospital in Seoul, South Korea. The FI-LAB included 26 preoperative laboratory tests and five vitality parameters. Of the 111 patients (mean age 75.4 years; 55% women; 63.1% had benign tumors), 35.1% exhibited moderate or high frailty. Moderate frailty was associated with higher hospital readmission rates (OR = 1.5; 95% CI, 1.01-1.82), and high frailty was linked to non-home discharge (OR = 2.1; 95% CI, 1.03-2.99). Assessing preoperative frailty with the FI-LAB may help identify risks of readmission or non-home discharge. Future studies with larger samples are needed to validate these findings. Nurses should integrate frailty assessment into practice to improve postoperative outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12182965 | PMC |
| http://dx.doi.org/10.1111/nhs.70168 | DOI Listing |
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