Impact of frailty on postoperative outcomes after hepatectomy:A systematic review and meta-analysis

作     者：Yao-Jia Lv Guang-Xing Xu Jia-Rong Lan 

作者机构：Day Surgery WardHuzhou Central HospitalThe Affiliated Central Hospital of Huzhou UniversityHuzhou 313000Zhejiang ProvinceChina School of Basic Medical SciencesZhejiang Chinese Medical UniversityHangzhou 310053Zhejiang ProvinceChina Department of MedicineHuzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical UniversityHuzhou 313000Zhejiang ProvinceChina 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2024年第16卷第7期

页      面：2319-2328页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Frailty Frail adults Hepatic resection Hepatectomy Complications Mortality Survival Clinical outcomes Meta-analysis 

摘      要：BACKGROUND The impact of frailty on postoperative outcomes in patients undergoing hepatectomy is still *** To study the influence of frailty on postoperative outcomes,such as mortality,rate of complications,and length of hospitalization,following *** PubMed,EMBASE,and Scopus databases were searched for observational studies with adult(≥18 years)patients after planned/elective hepatectomy.A randomeffects model was used for all analyses,and the results are expressed as weighted mean difference(WMD),relative risk(RR),or hazards ratio(HR)with 95%confidence interval(CI).RESULTS Analysis of the 13 included studies showed a significant association of frailty with elevated risk of in-hospital mortality(RR=2.76,95%CI:2.10-3.64),mortality at 30 d(RR=4.60,95%CI:1.85-11.40),and mortality at 90 d(RR=2.52,95%CI:1.70-3.75)in the postoperative *** patients had a poorer long-term survival(HR=2.89,95%CI:1.84-4.53)and higher incidence of“anycomplications(RR=1.69,95%CI:1.40-2.03)and major(grade III or higher on the Clavien-Dindo scale)complications(RR=2.69,95%CI:1.85-3.92).Frailty was correlated with markedly lengthier hospital stay(WMD=3.65,95%CI:1.45-5.85).CONCLUSION Frailty correlates with elevated risks of mortality,complications,and prolonged hospitalization,which need to be considered in surgical *** research is essential to formulate strategies for improved outcomes in this vulnerable cohort.