Better preoperative physical performance reduces the odds of complication severity and discharge to care facility after abdominal cancer resection in people over the age of 70 – A prospective cohort study
European Journal of Surgical Oncology Sep 04, 2018
Karlsson E, et al. - Between December 2015 and December 2017, researchers conducted a prospective cohort study of 197 individuals ≥ 70 years of age awaiting abdominal cancer surgery to determine the associations between preoperative physical performance and severity of postoperative complications, length of stay (LoS), and discharge destination. The multivariable analysis revealed reduced odds of higher complication severity in correlation with better walking distance, functional leg strength, grip strength, inspiratory muscle strength, and gait speed. They also noted that better preoperative inspiratory muscle strength was associated with shorter LoS in hospital, and better preoperative physical activity level, walking distance, grip strength, and maximal walking speed reduced the odds of being postoperatively discharged to further care rather than to home. These findings emphasize the importance of adding objectively measured physical performance to conventional risk assessments in preoperative care.
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