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The analysis of correlation between frailty index and postoperative complications of aged patients with nodular goiter

机译：老年结节性甲状腺肿患者体质指数与术后并发症的相关性分析

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Objective: To explore the correlation between frailty index (FI) and postoperativecomplications of aged patients with nodular goiter (NG).Methods: A total of 120 aged patients with NG undergoing operative treatmentfrom May 2013 to October 2015 in our hospital were selected. All of them weredivided into 3 groups according to the FI as follows: nonfrail group (FI < 0.2), intermediately frail group (0.2 ≤ FI < 0.4), and frail group (FI ≥ 0.4). Clinical data ofpatients about general data, body mass index, American Society of Anesthesiology(ASA) classification, hospital stays, and postoperative complications were examined.Then, the correlations between the indexes above and FI were examined.Results: Frailty index and the ASA classification have some relevance (r = .265,P = .007). The postoperative complication rates of total nonfrail group, intermediately frail group, and frail group were, respectively, 4 cases (11.4%), 11 cases(31.4%), and 24 cases (48.0%). With the increase in FI, the incidence of postoperative complications and hospital stays had also significantly increased. The area underreceiver operating characteristic curve examining frailty’s ability to forecast postoperative complications was 0. 815 (95% CI: 0.675-0.954, P = .000).Conclusion: The level of frailty index is a risk factor for postoperative complicationsof aged patients with NG. The preoperative frailty index evaluation can provide reference evidence for the treatment of aged NG patients undergoing surgery.
机译：目的：探讨老年结节性甲状腺肿（NG）患者的体弱指数（FI）与术后并发症的相关性。方法：选择2013年5月至2015年10月在我院接受手术治疗的120例老年NG患者。根据FI将它们全部分为三组：非脆弱组（FI <0.2），中度脆弱组（0.2≤FI<0.4）和脆弱组（FI≥0.4）。检查患者的一般数据，体重指数，美国麻醉学会（ASA）分类，住院时间和术后并发症的临床资料，然后检查上述指标与FI之间的相关性。结果：虚弱指数和ASA分类有一些相关性（r = .265，P = .007）。整体非脆弱组，中度虚弱组和虚弱组的术后并发症发生率分别为4例（11.4％），11例（31.4％）和24例（48.0％）。随着FI的增加，术后并发症的发生率和住院时间也显着增加。评估身体虚弱预测术后并发症的能力的受者下方操作特征曲线为0. 815（95％CI：0.675-0.954，P = .000）。结论：虚弱指数水平是老年NG患者术后并发症的危险因素。术前虚弱指数评估可为老年NG手术患者的治疗提供参考依据。

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