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This is a retrospective study of patients aged 65 years and older who underwent cardiac and aortic surgery between March 5, 2021 and October 12, 2022 in the operating room of Severance Cardiovascular Hospital to determine the impact of physical frailty as well as nutritional status, emotional dysregulation, and cognitive dysfunction on postoperative outcomes. Physical frailty will be determined by the Clinical Frailty Scale, handgrip strength, and nutritional status, cognitive dysfunction will be determined by the K-MMSE and K-MoCA administered at the preoperative interview, and emotional dysregulation will be determined using the SGDS-K. These were measured during the pre-anesthesia evaluation and only results from patients who agreed to be tested will be used. Nutritional status will be analyzed based on blood test values measured within one month of surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients categorized as having no frailty on the frailty item, assessed by four domains | cognitive, emotional, physical, and nutritional. | ||
| Patients exhibiting the early signs that may lead to frailty, assessed in four domains | cognitive, emotional, physical, and nutritional. | ||
| Patients categorized as having frailty on the frailty item, assessed by four domains | cognitive, emotional, physical, and nutritional. |
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| Measure | Description | Time Frame |
|---|---|---|
| postoperative all cause mortality | This study evaluates all-cause mortality within 1 year after surgery | within 1 year |
| major composite morbidity | within 30days after surgery for major composite morbidity |
| Measure | Description | Time Frame |
|---|---|---|
| the number of days not in hospital | DAOH is the number of days not in hospital over a defined postoperative period | 90 days |
| The number of participants who die | patients who die |
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Inclusion Criteria:
Exclusion Criteria:
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Patients age 65 and older undergoing heart and aortic surgery
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yonsei University Health system, Severance Hospital | Seoul | 03722 | South Korea |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| 30 days after surgery |