The Surgical Apgar Score and frailty as outcome predictors in short- and long-term evaluation of fit and frail older patients undergoing elective laparoscopic cholecystectomy - a prospective cohort study.

Introduction: Frailty increases the risk of poor surgical outcomes in the older population. Some intraoperative factors may also influence the final result and can be evaluated. The Surgical Apgar Score (SAS) is a simple system predicting postoperative mortality and morbidity.

Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients.

Background: Older patients experience a higher incidence of postoperative complications after cholecystectomy compared with younger patients. However, most studies have not considered patient frailty, particularly regarding emergency cholecystectomy. The aim of this prospective study was to evaluate outcomes in frail older patients eligible for elective and emergency cholecystectomy.

Six screening instruments for frailty in older patients qualified for emergency abdominal surgery.

Introduction: The literature on geriatric assessment in emergency admitted patients is scarce, particularly there are no studies regarding the efficacy of frailty screening tests among patients qualified for emergency abdominal surgery. Therefore, the aim of this study was to compare the diagnostic accuracy of six screening instruments in this group of patients.

Material And Methods: The diagnostic accuracy of the Vulnerable Elderly Survey (VES-13), Triage Risk Screening Tool (TRST), Geriatric-8 (G8), Groningen Frailty Index (GFI), Rockwood, Balducci score was evaluated in a prospective group of 184 consecutive patients ≥65 years of age.

Cumulative deficit model of geriatric assessment to predict the postoperative outcomes of older patients with solid abdominal cancer.

Objective: The geriatric assessment (GA) has proven to be of great value for clinicians treating older patients. However, a clear consensus on the optimal set of GA instruments is lacking, particularly for surgical patients. Therefore, the aim of this prospective study was to compare the prevalence of frailty, depending on the number of incorporated GA domains, and to evaluate its accuracy in predicting postoperative outcome.

The prognostic role of comorbidities in older patients qualified for emergency abdominal surgery.

Unlabelled: Until now, the literature about the influence of specific comorbid conditions on outcome of emergency abdominal surgery in polish elderly patients is scars. The aim of the study was to determine the prognostic role of comorbidities in patients qualified for emergency abdominal surgery.

Material And Methods: One hundred and eighty four consecutive patients(98 female and 86 male).

Screening for frailty among older patients with cancer that qualify for abdominal surgery.

Objective: The Geriatric Assessment (GA) is an established method for evaluating and optimizing diagnostic and treatment plans. However, it requires experience and is time-consuming. Therefore, a variety of screening methods have been developed.

Vulnerable Elderly Survey 13 as a screening method for frailty in Polish elderly surgical patient--prospective study.

Unlabelled: The Vulnerable Elders Survey (VES-13) is a simple function based frailty screening tool that can be also administered by the nonclinical personnel within 5 minutes and has been validated in the out- and in patient clinic and acute medical care settings. The aim of the study was to validate the accuracy of the VES-13 screening method for predicting the frailty syndrome based on a CGA in polish surgical patients.

Material And Methods: We included prospectively 106 consecutive patients ≥65, that qualify for abdominal surgery (both due to oncological and benign reasons), at the tertiary referral hospital.