Volume 19 Supplement 1
Frailty predicts increased resource use and postoperative care requirements after revision hip surgery
© Panickar et al.; licensee BioMed Central Ltd. 2015
Published: 16 March 2015
There is increasing demand for revision hip surgery in older patients with poor frailty. Our previously submitted work demonstrated that frailty predicts the need for medical review . We reviewed patients for a further 16 months to see whether frailty impacts on care . This is the largest reported study reviewing frailty and the need for organ supports and outcomes in complex orthopaedic surgery.
A retrospective note review of all patients from January 2012 to April 2014 undergoing revision hip surgery. Data collected included frailty, comorbidities, operative blood loss, anaesthetic technique and level of organ supports and patient location at 30 days.
Frailty is associated with increased intraoperative resource use and postoperative care requirements independent of choice of anaesthetic technique. This type of surgery should be subject to health economic analysis as demand amongst the frailer surgical population increases.
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