Handgrip strength predicts length of hospital stay in an abdominal surgical setting: the role of frailty beyond age

Background Chronological age per se cannot be considered a prognostic risk factor for outcomes after elective surgery, whereas frailty could be. A simple and easy-to-get marker for frailty, such as handgrip strength (HGS), may support the surgeon in decision for an adequate healthcare plan. Aims The...

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Bibliographic Details
Published in:Aging clinical and experimental research 2022-04, Vol.34 (4), p.811-817
Main Authors: Marano, Luigi, Carbone, Ludovico, Poto, Gianmario Edoardo, Gambelli, Margherita, Nguefack Noudem, Leonelle Lore, Grassi, Giulia, Manasci, Fabiana, Curreri, Giulia, Giuliani, Alessandra, Piagnerelli, Riccardo, Savelli, Vinno, Marrelli, Daniele, Roviello, Franco, Boccardi, Virginia
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Age
Aged
Aged, 80 and over
Female
Frail Elderly
Frailty
Frailty - diagnosis
Geriatrics/Gerontology
Hand Strength
Humans
Length of Stay
Male
Medicine
Medicine & Public Health
Original
Original Article
Retrospective Studies
Surgical outcomes
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Summary:Background Chronological age per se cannot be considered a prognostic risk factor for outcomes after elective surgery, whereas frailty could be. A simple and easy-to-get marker for frailty, such as handgrip strength (HGS), may support the surgeon in decision for an adequate healthcare plan. Aims The aims of this study were to: (1) determine the prevalence of frailty in an abdominal surgery setting independent of age; (2) evaluate the predictive validity of HGS for the length of hospital stay (LOS). Methods This is a retrospective study conducted in subjects who underwent abdominal surgical procedures. Only subjects with complete cognitive, functional, nutritional assessments and available measurement of HGS at admission were included. A final cohort of 108 patients were enrolled in the study. Results Subjects had a mean age of 67.8 ± 15.8 years (age range 19–93 years old) and were mostly men. According to Fried’s criteria, 17 (15.7%, 4F/13 M) were fit, 58 (23.7%; 24F/34 M) were pre-frail and 33 (30.6%; 20F/13 M) were frail. As expected, HGS significantly differed between groups having frail lower values as compared with pre-frail and fit persons (fit: 32.99 ± 10.34 kg; pre-frail: 27.49 ± 10.35 kg; frail: 15.96 ± 9.52 kg, p  
ISSN:1720-8319
1594-0667
1720-8319
DOI:10.1007/s40520-022-02121-z