Ivana Králiková
University Hospital Bratislava, SlovakiaPresentation Title:
Frailty score, postoperative complications in geriatric patients and monitoring of albumin levels
Abstract
INTRODUCTION: The aim of the study was to analyze frailty grades of geriatric patients and their impact on the incidence of postoperative complications. It focused on investigating the relationships between frailty, nutritional status, morbidity, and serum albumin levels.
METHODS: The study included 80 geriatric patients who underwent colorectal cancer extraction. Patients were monitored for preoperative and postoperative serum albumin levels, Clinical Frailty Score, Charlson Comorbidity Index, and nutritional status based on the Mini Nutritional Assessment.
RESULTS: The analysis of available data demonstrated a statistically significant relationship (p = 0.003) between frailty and the prediction of 10-year survival. The patient's frailty grade affects the prediction of 10-year survival by 13%. Malnutrition was shown to be associated with increased frailty, affecting the frailty grade by 45%. Hypoalbuminemia was confirmed to correlate with nutritional status, increased frailty, and decreased prediction of 10-year survival.
CONCLUSION: Frailty is a geriatric syndrome with a multicausal etiology, chronic course, and functional impairment of varying degrees. The results of our study demonstrate that routine clinical implementation of preoperative assessment of frailty grade, nutritional status, and serum albumin levels has the potential to establish standardized management to reduce postoperative morbidity and mortality in geriatric patients.
Biography
Ivana Králiková graduated in 2015 in Masaryk University in Czech Republic. She completed her specialization study in Anesthesiology and Intensive Care in 2022 and actually works as anesthesiologist at University Hospital Bratislava, Slovakia. She is attending the last year of her PhD studies at Commenius University Bratislava. Her doctorate research is on the topic „ Frailty score as a predictor of the risk of postoperative complications in geriatric patients after major abdominal surgery “. Subsequently, she is a lecturer in Anesthesiology and Intensive Care Department, Faculty of Medicine at Commenius University Bratislava. In addition, she joined the specialty of Master of Public Health in 2022.
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