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Association Between Frailty and Postoperative Recovery Quality in Older Adults
1Department of Neurosurgery, Ege University Medical Faculty Hospital, Izmir, Turkey.
Purpose:
This study aimed to evaluate the association between frailty and the quality of postoperative recovery in older adults undergoing neurosurgery.
Design:
A prospective observational study of descriptive and correlational design.
Methods:
The study included 105 older adults hospitalized in the neurosurgery department of a university hospital. Data were collected using the Individual Data Form, the Quality of Recovery-40 (QoR-40) Questionnaire, and the Edmonton Frail Scale (EFS). The EFS was administered both preoperatively and 24 hours postoperatively.
Findings:
The mean age of the participants was 71.53 ± 6.08 years. The mean EFS score was 7.73 ± 2.52 preoperatively and 7.57 ± 1.88 postoperatively. The postoperative QoR-40 mean score was 134.49 ± 11.09 indicating moderate recovery. A statistically significant weak negative association was found between the QoR-40 total score and both preoperative (r = -0.277, P < .05) and postoperative EFS scores (r = -0.336, P < .05).
Conclusions:
Participants exhibited a high prevalence of mild-to-moderate frailty in both the preoperative and postoperative periods. Their postoperative recovery quality was moderate. The findings indicate a weak negative association between frailty and postoperative recovery quality, suggesting that preoperative frailty assessment may be a critical step for guiding care and potentially mitigating poorer recovery outcomes in older neurosurgical patients.
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