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01.12.2023 | Research

Physical frailty recovery is slower than mental frailty recovery after non-cardiac surgery in older adult patients

verfasst von: Tomokazu Kishiki, Hiroshi Hasegawa, Hideaki Yoshino, Nobuyoshi Aso, Aiko Iioka, Takashi Wakamatsu, Kazuna Honda, Isao Kataoka, Sangchul Kim, Shun Ishii, Satoshi Isobe, Toshiya Shirota, Mayumi Ide, Seiichi Taniai, Kumi Moriyama, Tomoko Yorozu, Haruhiko Kondo, Yoshihiro Sakamoto, Nobutsugu Abe, Eiji Sunami

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 1/2023

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Abstract

Purpose

Frailty is characterized by fragility and decline in physical, mental, and social activities; it is commonly observed in older adults. No studies have reported frailty status changes between the preoperative and postoperative periods, including mental and cognitive factors. Therefore, this study investigated frailty factors, including mental and cognitive functions, that change after non-cardiac surgery in older adults.

Methods

Patients aged ≥ 75 years who underwent non-cardiac surgery were surveyed using five tools (Eastern Cooperative Oncology Group-Performance Status (PS); handgrip strengths; Japan-Cardiovascular Health Study index (J-CHS index); Mini-Mental State Examination (MMSE); and Geriatric Depression Scale) for comprehensive evaluation of perioperative functions. The results before surgery, at discharge, and during follow-up at the outpatient clinic were compared.

Results

Fifty-three patients with a median age of 80 (IQR, 77–84) years were evaluated. MMSE scores did not change during the perioperative period. The PS and J-CHS index worsened significantly at discharge and did not improve at the outpatient clinic follow-up. The dominant handgrip strength decreased after surgery (p < 0.001) but improved during follow-up. Additionally, nondominant handgrip strength decreased after surgery (p < 0.001) but did not recover as much as the dominant handgrip strength during follow-up (p = 0.015).

Conclusion

Changes in physical frailty and mental and cognitive functions were not identical perioperatively in older adult patients undergoing non-cardiac surgery. Physical frailty did not improve 1 month after surgery, mental function recovered early, and cognitive function did not decline. This study may be important for frailty prevention in older adult patients.

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Titel: Physical frailty recovery is slower than mental frailty recovery after non-cardiac surgery in older adult patients
verfasst von: Tomokazu Kishiki
Hiroshi Hasegawa
Hideaki Yoshino
Nobuyoshi Aso
Aiko Iioka
Takashi Wakamatsu
Kazuna Honda
Isao Kataoka
Sangchul Kim
Shun Ishii
Satoshi Isobe
Toshiya Shirota
Mayumi Ide
Seiichi Taniai
Kumi Moriyama
Tomoko Yorozu
Haruhiko Kondo
Yoshihiro Sakamoto
Nobutsugu Abe
Eiji Sunami
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Langenbeck's Archives of Surgery / Ausgabe 1/2023
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-023-03123-9

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Physical frailty recovery is slower than mental frailty recovery after non-cardiac surgery in older adult patients