The Influencing Factors of Frailty and Quality of Life in Elderly Patients After Spinal Surgery

Clin Interv Aging. 2024 May 9:19:769-778. doi: 10.2147/CIA.S453830. eCollection 2024.

Abstract

Background: To study the related factors of frailty and quality of life in elderly patients after spinal surgery.

Methods: The anxiety, depression, frailty, and quality of life of all patients were assessed by the Anxiety screening scale (GAD-7), Depression screening scale (PHQ-9), Frailty screening scale (FRAIL), and European five-dimensional health scale (EQ-5D-5L) 1 day before surgery (DAY-0). A numeric rating scale (NRS) was used to evaluate patients' pain during activities on the 1st day (POD-1), 3rd day (POD-3), and 30th day (POD-30) after operation. FRAIL scale and EQ-5D-5L were used to evaluate patients' frailty and quality of life on POD-30 and 90th day (POD-90) after the operation.

Results: There were significant differences in age, body mass index (BMI), preoperative serum albumin level (ALB), and NRS score on POD-1 between the two groups (P<0.05). Age and PHQ-9 score were positively correlated with EQ-5D-5L score (P<0.05, r Age=0.245, rPHQ-9=0.217), and preoperative ALB level was negatively correlated with EQ-5D-5L score (P<0.05, r ALB=-0.274).

Conclusion: The older the age, the larger the BMI and the higher the NRS score on the first day after surgery, the more prone to frailty in elderly patients after spinal surgery; The older age and the lower the preoperative ALB level, the worse the quality of life in elderly patients after spinal surgery.

Keywords: elderly patients; frailty; quality of life; spinal surgery.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anxiety*
  • Body Mass Index
  • Depression* / psychology
  • Female
  • Frail Elderly / psychology
  • Frailty* / psychology
  • Geriatric Assessment
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Spine / surgery

Grants and funding

This study was funded by Guangxi Clinical Research Center for Anesthesiology (No. GK AD22035214); the Key Project of Natural Science Foundation of Guangxi (No.2020GXNSFDA238025); Special Fund of Neurotoxicity of General Anesthetics and Its Prevention and Treatment Innovation Team of the First Affiliated Hospital of Guangxi Medical University (No.YYZS2022001); Guangxi medical and health appropriate technology development and application of the project (No. S2022008); Guangxi Science and Technology Department Natural Science Foundation Project (Active Health and Common Diseases Joint Special) Guike Jizi [2023] No.26, 2023GXNSFAA026324.