Assessments vor Operationen

Kahlmeyer, Andreas; Goebell, Peter J.; Wullich, Bernd

doi:10.1007/s00120-019-0888-3

Cited by 1 publication

(3 citation statements)

References 31 publications

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Section: Discussionmentioning

confidence: 99%

“…Numerous geriatric assessment tools covering various aspects of ageing have been developed [11]. The slow adoption of geriatric assessments is partly due to the complexity of the proposed tools and the unclear prediction regarding outcome [11]. The major benefit of the CSHA frailty index is its simplicity, as it takes less than a minute to be completed [10,11].…”

Section: Discussionmentioning

confidence: 99%

“…The slow adoption of geriatric assessments is partly due to the complexity of the proposed tools and the unclear prediction regarding outcome [11]. The major benefit of the CSHA frailty index is its simplicity, as it takes less than a minute to be completed [10,11]. That is why we choose this tool for the current investigation.…”

Section: Discussionmentioning

confidence: 99%

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Can a Simple Geriatric Assessment Predict the Outcome of TURP?

et al. 2020

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KeywordsTURP · Geriatric · Outcome · Geriatric assessment · Benign prostatic hyperplasia · Lower urinary tract symptoms Abstract Purpose: To determine the impact of a simple preoperative geriatric assessment on the outcome in older patients with recurrent urinary retention who underwent desobstructive surgery. Patients and Methods: Patients aged 75 years or older with recurrent urinary retention referred for TURP entered this prospective, multicentre study. Several demographic, intra-and postoperative parameters were assessed. Preoperative geriatric assessment was performed by the 7-item Canadian Study of Health and Ageing (CSHA) frailty scale (1: very fit, 7: severely frail; completion takes less than a minute). The main outcome parameters were successful voiding rates at discharge and 3 months postoperatively. Results: A total of 54 patients were recruited; 42 (77.8%) patients had a CSHA index of 1-3 and were considered as "fit", the remaining 12 (22.2%) formed the "frail" group (CSHA index 4-7). Age was identical in both cohorts (79.5 ± 3.7 vs. 79.7 ± 3.3 years); differences were demonstrable for the American Society of Anesthesiologists (ASA) score (p = 0.001), the number of daily medications (> 4: 32 vs. 75%, p = 0.02), falls within the past 6 months (12 vs. 33%), and the necessity of home/nursing care (5 vs. 42%, p = 0.004). Intra-and perioperative complications, duration of postoperative catheterization, and length of hospitalization were identical in both cohorts. The success rate at discharge was 80.6% in fit and 75.0% in frail patients; the respective values at 3 months were 95.2 and 83.3%. Conclusions: A simple 1-min geriatric assessment tool can predict -to a certain extentthe outcome of desobstructive surgery in older patients with recurrent urinary retention. Fit patients achieve an excellent outcome while frail patients might benefit from a more indepth urodynamic/geriatric evaluation.

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Section: Discussionmentioning

confidence: 99%