Fall risk and function in older women after gynecologic surgery

Area of Science:

• Geriatric Medicine
• Surgical Outcomes
• Rehabilitation Science

Background:

• Older adults undergoing gynecologic surgery face unique recovery challenges.
• Post-operative functional decline and fall risk are significant concerns in this population.

Purpose of the Study:

• To evaluate changes in balance-related fall risk and daily functional abilities in older women following gynecologic surgery.
• To assess recovery trajectories during the first two post-operative weeks and up to six weeks after surgery.

Main Methods:

• Prospective cohort study of patients aged 65+ undergoing gynecologic surgery.
• Assessed balance confidence, functional status (ADLs/IADLs), physical performance, and mobility pre- and post-operatively using validated scales and tests.
• Follow-up assessments at post-operative days 7 and 42.

Main Results:

• Fall risk was significantly elevated during the first two post-operative weeks, peaking on post-operative day 2.
• Balance performance and functional mobility were significantly lower at one week compared to baseline.
• 22% of women experienced new dependence in medication management at home.

Conclusions:

• Gynecologic surgery increases fall risk in older women, with the highest risk observed on post-operative day 2 and persisting for two weeks.
• Early home recovery is characterized by functional limitations, including unexpected challenges like medication management.
• Findings can inform improved post-operative discharge planning and support for older surgical patients.