THE USEFULNESS OF GRONINGEN FRAILTY INDICATOR   IN THE UROLOGIC PATIENTS AGED OVER 60 YEARS OLD

Adelina MIRON; Adina Carmen ILIE; M. ROSCA; Anca Iuliana PISLARU; Ioana Alexandra SANDU; C. PRICOP; D. PUIA

Adelina MIRON “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Adina Carmen ILIE “Grigore T. Popa” University of Medicine and Pharmacy Iasi
M. ROSCA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Anca Iuliana PISLARU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
Ioana Alexandra SANDU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
C. PRICOP “Grigore T. Popa” University of Medicine and Pharmacy Iasi
D. PUIA “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

The presence of frailty in an older patient influences his mental status, physical status, his response in stress conditions, including surgery and choosing the proper treatment. The surgical community has recently adopted frailty evaluation as an instrument to estimate the post-surgical risk. Our objective is to evaluate the usefulness of frailty evaluation in the urological patient in terms of post-surgical evolution and post-surgical complications. Material and methodsː This is a prospective study which included 600 consecutive patients aged 60 and over admitted in Urological Clinic in one year. Demographic data and data regarding comorbidities, urological intervention, hospitalization days and complications were collected. Using Groningen Frailty Index (GFI) patients were divided into two groups: non-frail (GFI 0-4) and frail (GFI 5-15).
Resultsː 343 patients with a mean age of 70.24 years were in non-frail group and 257 patients with a mean age of 73.28 years in frail group. Cardiovascular comorbidities predominated in both groups 82.02% (281 patients) in the “non-frail” group and in 84.27% (217 patients) in the “frail” group (p = 0.4833). Surgical intervention were performed on 80.39% (276 patients) in the “non-frail” group and on 75.40% (194 patients) in the “frail” group. The rate of post-surgical complications was with 13.7% (34 patients) higher in the frail group (p = 0.00053). Frailty is correlated with age (r = 0.252, p<0.0001), neurological comorbidities (r = 0.171, p<0.0001) and non-urological malignancies (r = 0.096, p = 0.018). Conclusionsː GFI can be a useful tool in the post-surgical evaluation of the elder patients’ evolution.

Author Biographies

Adelina MIRON, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II

Adina Carmen ILIE, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (II)

M. ROSCA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

Anca Iuliana PISLARU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (II)

Ioana Alexandra SANDU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Medical Specialties (II)

C. PRICOP, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

D. PUIA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

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