The implementation of the Vulnerable Elders Survey 13 (VES 13) frailty tool in the
preoperative assessment of geriatric surgical patients effectively identifies individuals at
increased risk of adverse postoperative outcomes. It is hypothesized that patients with a
VES-13 score more than equal to 3 will have a significantly higher incidence of postoperative
complications, prolonged hospital stay, and non-home discharge compared to those with
lower scores, enabling early risk stratification and targeted interventions. Aim: Assessment of the effect of frailty on perioperative outcomes in elderly patients
undergoing major orthopaedic
Primary objective
To assess the effect of Frailty on perioperative outcome, in the form of hospital length of
stay on elderly patients undergoing major orthopaedic surgical procedures at Dr.
RMLIMS, Lucknow
Secondary objective
To assess the effect of frailty on intra-op and post-op complications like post-op
requirement of mechanical ventilation, requirement of vasopressors
To assess the association with ASA grading
To assess the association of frailty with 30 day mortality
Primary outcome measures included
Postoperative outcome in form of increased hospital length of stay
Postoperative complications (e.g., infection, wound dehiscence, reoperation, ICU
transfer)
Discharge disposition (home, rehabilitation, or extended care)
In-hospital mortality.
Secondary outcomes included
Correlation between VES-13 scores and ASA grade,
Need for postoperative ICU admission,
Functional decline at discharge.
Significance of the study
By doing the study, we can assess beforehand which patients are going to stay longer in
the hospital, or have more days on mechanical ventilation, and have more chances of
complications or mortality, so we are able to prognosticate the patient pre-operatively.