Journal of Gastrointestinal Surgery · 17 authors, 8 centres
This summary was generated by AI from a single paper. It has not been reviewed by a clinician and is not clinical advice. Verify against the source before acting on it.
This retrospective cohort study of 424 patients aged 80 years or older presenting to the emergency department with small bowel obstruction found that Clinical Frailty Scale score was an independent prognostic factor for in-hospital mortality and major complications, with a point-by-point increase in CFS associated with a 1.72-fold increase in odds of mortality.
This retrospective cohort study enrolled 424 consecutive patients aged 80 years or older admitted to a single-center emergency department with small bowel obstruction between January 2015 and September 2020. Frailty was assessed using the Clinical Frailty Scale (CFS), analyzed both as a continuous and dichotomous variable (CFS ≤6 vs CFS ≥7). In-hospital mortality was 20.8% in severely frail patients versus 8.6% in non-severely frail patients, and major complication rates were 29.9% versus 17.9%, respectively. On multivariate analysis, CFS score was the only independent prognostic factor for mortality (OR 1.72 per point increase) alongside bloodstream infection, and was also independently predictive of major complications (OR 1.41 per point increase) along with male sex and surgery. Age and comorbidities were not significantly associated with mortality. Limitations include the retrospective design, single-center setting, limited sample size reducing statistical power, and focus on short-term outcomes only.
