Abstract：
UNASSIGNED: The global rise in ageing populations poses challenges for healthcare systems. By 2030, Singapore anticipates a quarter of its population to be aged 65 or older. This study addresses the dearth of research on frailty\'s impact on emergency laparotomy (EL) outcomes in this demographic, emphasising the growing significance of this surgical intervention.
UNASSIGNED: Conducted at 2 tertiary centres in Singapore from January to December 2019, a retrospective cohort study examined EL outcomes in patients aged 65 or older. Frailty assessment, using the Clinical Frailty Scale (CFS), was integrated into demographic, diagnostic and procedural analyses. Patient data from Tan Tock Seng Hospital and Khoo Teck Puat Hospital provided a comprehensive view of frailty\'s role in EL.
UNASSIGNED: Among 233 participants, 26% were frail, revealing a higher vulnerability in the geriatric population. Frail individuals exhibited elevated preoperative risk, prolonged ICU stays, and significantly higher 90-day mortality (21.3% versus 6.4%). The study illuminated a nuanced connection between frailty and adverse outcomes, underlining the critical need for robust predictive tools in this context.
UNASSIGNED: Frailty emerged as a pivotal factor influencing the postoperative trajectory of older adults undergoing EL in Singapore. The integration of frailty assessment, particularly when combined with established metrics like P-POSSUM, showcased enhanced predictive accuracy. This finding offers valuable insights for shared decision-making and acute surgical unit practices, emphasising the imperative of considering frailty in the management of older patients undergoing emergency laparotomy.
UNASSIGNED: Conducted at 2 tertiary centres in Singapore from January to December 2019, a retrospective cohort study examined EL outcomes in patients aged 65 or older. Frailty assessment, using the Clinical Frailty Scale (CFS), was integrated into demographic, diagnostic and procedural analyses. Patient data from Tan Tock Seng Hospital and Khoo Teck Puat Hospital provided a comprehensive view of frailty\'s role in EL.
UNASSIGNED: Among 233 participants, 26% were frail, revealing a higher vulnerability in the geriatric population. Frail individuals exhibited elevated preoperative risk, prolonged ICU stays, and significantly higher 90-day mortality (21.3% versus 6.4%). The study illuminated a nuanced connection between frailty and adverse outcomes, underlining the critical need for robust predictive tools in this context.
UNASSIGNED: Frailty emerged as a pivotal factor influencing the postoperative trajectory of older adults undergoing EL in Singapore. The integration of frailty assessment, particularly when combined with established metrics like P-POSSUM, showcased enhanced predictive accuracy. This finding offers valuable insights for shared decision-making and acute surgical unit practices, emphasising the imperative of considering frailty in the management of older patients undergoing emergency laparotomy.
摘要：
■全球老龄化人口的增加给医疗保健系统带来了挑战。到2030年，新加坡预计四分之一的人口将年龄在65岁以上。这项研究解决了缺乏关于脆弱对紧急剖腹手术(EL)结果的影响的研究，强调这种手术干预的重要性。
■于2019年1月至12月在新加坡的2个三级中心进行的一项回顾性队列研究检查了65岁或以上患者的EL结局。虚弱评估，使用临床虚弱量表(CFS)，被整合到人口统计中，诊断和程序分析。TanTockSeng医院和KhooTeckPuat医院的患者数据提供了关于脆弱在EL中的作用的全面视图。
■在233名参与者中，26%的人很虚弱，揭示了老年人群中更高的脆弱性。虚弱的个体表现出术前风险升高，ICU停留时间延长,90天死亡率显著升高（21.3%对6.4%）。这项研究揭示了虚弱和不良后果之间的微妙联系，强调在这种情况下迫切需要强大的预测工具。
■脆弱成为影响新加坡老年人EL术后轨迹的关键因素。脆弱评估的整合，特别是当与诸如P-POSSUM之类的既定指标结合时，展示了增强的预测准确性。这一发现为共享决策和急性外科单元实践提供了宝贵的见解，强调在接受紧急剖腹手术的老年患者的管理中考虑虚弱的必要性。
■于2019年1月至12月在新加坡的2个三级中心进行的一项回顾性队列研究检查了65岁或以上患者的EL结局。虚弱评估，使用临床虚弱量表(CFS)，被整合到人口统计中，诊断和程序分析。TanTockSeng医院和KhooTeckPuat医院的患者数据提供了关于脆弱在EL中的作用的全面视图。
■在233名参与者中，26%的人很虚弱，揭示了老年人群中更高的脆弱性。虚弱的个体表现出术前风险升高，ICU停留时间延长,90天死亡率显著升高（21.3%对6.4%）。这项研究揭示了虚弱和不良后果之间的微妙联系，强调在这种情况下迫切需要强大的预测工具。
■脆弱成为影响新加坡老年人EL术后轨迹的关键因素。脆弱评估的整合，特别是当与诸如P-POSSUM之类的既定指标结合时，展示了增强的预测准确性。这一发现为共享决策和急性外科单元实践提供了宝贵的见解，强调在接受紧急剖腹手术的老年患者的管理中考虑虚弱的必要性。
