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Frailty predicts increased costs in emergent general surgery patients: A prospective cohort cost analysis

Surgery May 02, 2019

Eamer GJ, et al. - Via conducting this prospective cost analysis of 321 emergency general surgery patients 65 years of age and older, researchers investigated if, in elderly surgical patients who have undergone emergency abdominal surgery, increased frailty would be a risk factor for increased health care costs. The patients had a mean age of 76.1 years (standard deviation 7.8), median Clinical Frailty Scale of 3 and mean length of stay of 15.9 days (standard deviation 23.4); complication was experienced by 48% of the patients. Observed revealed an increase in costs after adjusting for age, comorbidities, and preadmission function as frailty and an increase in American Society of Anesthesiologists score when minor or major complications occurred. They suggest frailty detection as an opportunity to target risk-reduction strategies and interventions to improve outcomes and lower cost.
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