Disability Among Frail Elderly Patients Scheduled for Coronary Artery Bypass Graft Surgery.

Authors

  • Marwa Mohamead Awad Attia
  • Eman Shokry Abdallah
  • Nashwa Saber Elsayed Atia

Keywords:

Frailty, Disability, Elderly, Coronary artery bypass graft

Abstract

Background: Preoperative identification of disability among frail elderly individuals scheduled for coronary artery bypass graft (CABG) surgery is essential for perioperative risk stratification and care planning.


Aim: Assess the prevalence and level of disability among frail elderly patients prior to elective CABG surgery. Methods: A descriptive cross-sectional study was conducted on 80 elderly patients (≥60 years) scheduled for elective on-pump CABG at the Cardiothoracic Department, Sudeanie Hospital, Zagazig University Hospitals. Frailty was assessed using the Clinical Frailty Scale (CFS), and disability was measured using the 12-item World Health Organization Disability Assessment Schedule (WHODAS 2.0). Results: The mean age of participants was 69.2 ± 2.7 years; 72.5% were male. Regarding disability, 55% had mild disability, 35% moderate disability, and 3.75% severe disability. Higher education level and regular exercise were significant negative predictors of disability, whereas marital status, residence, and living arrangements were significant positive predictors. Conclusion: Mild to moderate disability is common among frail elderly patients scheduled for CABG surgery. Sociodemographic and lifestyle factors significantly influence disability levels. Recommendation:Routine preoperative frailty and disability screening should be integrated into cardiac surgical assessment to optimize perioperative management..

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References

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Published

2024-12-07

How to Cite

1.
Awad Attia MM, Abdallah ES, Elsayed Atia NS. Disability Among Frail Elderly Patients Scheduled for Coronary Artery Bypass Graft Surgery. J Neonatal Surg [Internet]. 2024 Dec. 7 [cited 2026 Apr. 7];13(1):2185-98. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10116

Issue

Vol. 13 (2024): Journal of Neonatal Surgery

Section

Original Article

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