Owodunni et al identified factors associated with a loss of independence following surgery for an adult >= 65 years of age. These can help to identify a patient who may benefit from more aggressive management or an alternative therapy. The authors are from Johns Hopkins University and University of Hawaii.

Patient selection: surgical patient >= 65 years of age


Loss of independence: discharge destination other than home


Predictors of a loss of independence:

(1) preoperative frailty (Edmonton Frail Scale >=6, over range from 0 to 17)

(2) social dependency (lack of social support and/or dependent in 1 or more activities of daily living)

(3) depression

(4) limited mobility (Timed Get-up and Go > 10 seconds)

(5) Operative Severity Score >= 3 (over range from 1 to 5)

(6) CMS Hierarchical Condition Category >= 1

(7) recent weight loss

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