Related Experiment Video
Updated: Jan 13, 2026
The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
The relationship between preoperative SPPB scores and 30-day postoperative pulmonary complications in elderly
Yaozhong Zhang1, Rui Yan2, Adilai Kurexi1
1The third, Affiliated Teaching Hospital of Xinjiang Medical University (Affiliated Cancer Hospital), Urumqi, China.
Objective:
This study investigated the correlation between preoperative Short Physical Performance Battery (SPPB) scores and the incidence of 30-day postoperative pulmonary complications (PPCs) in elderly patients undergoing elective major abdominal surgery.
Methods:
A cohort of 680 patients aged 65 years and above, scheduled for major abdominal surgery between April 2023 and November 2024 at our institution, was initially considered. Of these, 645 were enrolled and assessed using the SPPB on the day prior to surgery to evaluate their level of frailty. We collected demographic data and monitored the rates of PPCs within 30 days post-surgery. Participants were dichotomized into two groups based on their SPPB scores: a low-score group (scores below 10) and a high-score group (scores of 10 or above). Both univariate and multivariate logistic regression analyses were employed to explore the independent association between preoperative SPPB scores and the occurrence of PPCs.
Results:
The study included 440 patients in the high SPPB group (scores ≥ 10) and 205 in the low SPPB group (scores < 10). A significantly lower incidence of PPCs was observed in the high SPPB group (P = 0.002). Further, multivariate analysis substantiated that a higher preoperative SPPB score was independently predictive of a lower risk of PPCs (OR = 0.63, 95% CI: 0.42-0.94, P = 0.025).
Conclusion:
The SPPB serves as a valuable clinical instrument for assessing preoperative functional status. Elevated preoperative SPPB scores correlate with a decreased risk of PPCs in elderly patients undergoing elective major abdominal surgeries under general anesthesia.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:14SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...