武警医学2025，Vol.36Issue(4)：314-318,5.
改良衰弱指数预测机器人辅助下老年肝切除术后的并发症
Modified Frailty Index in prediction of complications after robot-assisted hepatectomy in elderly patients
董沙沙 1信文启2
作者信息
- 1. 100048 北京,解放军总医院第六医学中心麻醉科
- 2. 475004,河南大学淮河医院(南院区)麻醉科
- 折叠
摘要
Abstract
Objective To evaluate the value of modified frailty index(mFI)in the prediction of complications after robot-as-sisted hepatectomy in elderly patients.Methods The clinical data of 100 elderly patients undergoing robot-assisted hepatectomy at the Sixth Medical Center of PLA General Hospital from January 2021 to January 2024 were retrospectively analyzed,and the patients were divided into the frailty group(mFI≥0.27)and the non-frailty group(mFI<0.27)according to the mFI value.The general perioper-ative data of the two groups were compared to explore the relationship between mFI score and postoperative complications and postopera-tive outcomes in elderly patients after robot-assisted hepatectomy.The accuracy of mFI score in predicting postoperative complications was evaluated by receiver operating characteristics(ROC)curve.Results A total of 90 elderly patients undergoing hepatectomy were included in this study,including 42 patients in the frailty group and 48 patients in the non-frailty group.There were statistical differ-ences in age,ASA grade and total bilirubin between the two groups(P<0.05).The length of hospital stay and the incidence of com-plications within 30 days after operation in frailty group were higher than those in non-frailty group with statistically significant differ-ences(P<0.05).Multivariate Logistic regression analysis showed that mFI was the independent risk factor for the complications in re-spiratory system(OR=5.691;95%CI:0.842～0.985;P=0.001),nervous system(OR=5.162;95%CI:0.836～0.968;P=0.001),and cardiovascular system(OR=7.548;95%CI:0.873～0.996;P=0.001).Conclusions mFI has clinical application value in predicting postoperative complications in elderly patients with robot-assisted hepatectomy.关键词
改良衰弱指数/机器人辅助肝切除术/老年/术后并发症Key words
modified frailty index/robot-assisted hepatectomy/old age/postoperative complication分类
计算机与自动化引用本文复制引用
董沙沙,信文启..改良衰弱指数预测机器人辅助下老年肝切除术后的并发症[J].武警医学,2025,36(4):314-318,5.
