Abstract:
Objective: To explore the e ect of Edmonton Frailty Index on the determination of postoperative complication and mortality rates in patients over 65 years of age. Study Design: An observational study. Place and Duration of the Study:Department of Anaesthesiology and Reanimation, University of Health Sciences, Izmir Bozyaka Training and Research Hospital, Izmir, Turkiye, from January to July 2021. Methodology: Patients aged >65 years undergoing surgery were inducted. Frailty was de ned as a multisystemic condition in which physical, physiological, and cognitive abilities are reduced. Demographic data, ASA, and Edmonton Frailty Test Score (EFS) were noted preoperatively. Subsequently, these patients were followed perioepratively and evaluated by Clavien-Dindo test (CDT) during the rst month postoperatively. Results: There was no statistically signi cant di erence between genders, except EFS, which was higher in females than in males. EFS increased as age increased with a statistically signi cant positive correlation. The patients with the highest EFS underwent neurosurgical operations. There was a statistically signi cant and positive correlation between the length of hospital stay and EFS. EFS values increased as the ASA score increased and the positive correlation was statistically signi cant. The mild frality group had the highest CDT scores and were statistically signi cant. Conclusion: Frailty assessed by EFS has a statistically signi cant correlation with ASA and the CDT scores of the patients. EFS value was associated with length of hospital stay, unlike the ASA score. Both EFS and ASA were correlated with the CDT. Preoperative evaluation, especially in geriatric patients, is very important in determining postoperative complications, mortality, and length of hospital stay.