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Frail patients more likely to die in the year after surgery
February 24, 2016
While all surgeries come with risks, a recent study led by Dr.
Daniel McIsaac
found that frail, elderly patients are more likely to die in the year after surgery than other patients. The study published in
JAMA Surgery
reviewed the health records of 200,000 Ontario patients over age 65 who had scheduled surgery between 2002 and 2012. The team defined frailty as a combination of conditions including falls, low cognitive scores and poor global function. Only three percent of the surgeries they looked at involved frail patients. However, 14 percent of these frail patients died in the year after surgery, compared to five percent of non-frail patients. Even more striking was that three days after an operation, frail patients died at a rate 30 times higher than non-frail patients. This research demonstrates the need for routine identification and care of frail patients prior to surgery, work that Dr. McIsaac’s team is now pursuing. Dr. McIsaac was interviewed about this research by
Reuters
.
Co-authors
: Gregory L. Bryson, Carl van Walraven
Funders: Ontario Ministry of Health and Long-Term Care, University of Ottawa Department of Anesthesiology, The Ottawa Hospital Foundation
About The Ottawa Hospital
The Ottawa Hospital is one of Canada’s largest learning and research hospitals with over 1,100 beds, approximately 12,000 staff and an annual budget of over $1.2 billion. Our focus on research and learning helps us develop new and innovative ways to treat patients and improve care. As a multi-campus hospital, affiliated with the University of Ottawa, we deliver specialized care to the Eastern Ontario region, but our techniques and research discoveries are adopted around the world. We engage the community at all levels to support our vision for better patient care.
For further information, please contact
Jennifer Ganton
Director, Communications and Public Relations
Ottawa Hospital Research Institute
Office: 613-798-5555 x 73325
Cell: 613-614-5253
jganton@ohri.ca
Tags:
Aging
,
Frailty
,
Surgery