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Preo frailty predicts FOF in elderly ortho regression analyse
Wu RuiXiao1, Xia Yu1, Wu Shuang2
1School of Nursing, Chengdu Medical College, Chengdu, China.
Geriatric Nursing (New York, N.Y.)
|March 1, 2026
Summary
Preoperative frailty is common in elderly orthopedic patients and strongly linked to postoperative fear of falling (FOF). Early frailty assessment and targeted interventions are crucial for better rehabilitation outcomes.
Area of Science:
- Geriatric Medicine
- Orthopedic Surgery
- Public Health
Background:
- Preoperative frailty increases risks of falls and complications after orthopedic surgery.
- Fear of falling (FOF) is a significant concern for elderly patients post-orthopedic procedures.
Purpose of the Study:
- To investigate the association between preoperative frailty and postoperative fear of falling (FOF) in elderly orthopedic patients.
- To identify predictors of postoperative FOF in this population.
Main Methods:
- Prospective data collection from 140 elderly patients undergoing orthopedic surgery.
- Assessment of preoperative frailty using the FRAIL Scale and postoperative FOF using the Modified Fall Efficacy Scale.
- Statistical analysis including Pearson correlation and multiple linear regression.
Main Results:
- High prevalence of preoperative frailty (49.29%) and postoperative FOF (85%) observed.
- A significant positive correlation was found between preoperative frailty and FOF.
- Frailty, living alone, malnutrition, and walking aid use independently predicted FOF.
Conclusions:
- There is a high prevalence of preoperative frailty and postoperative FOF in elderly orthopedic surgery patients.
- A positive correlation exists between preoperative frailty and postoperative FOF.
- Early frailty assessment and targeted fall prevention strategies are recommended for improved patient rehabilitation.
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