{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T15:24:26Z","timestamp":1777649066825,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T00:00:00Z","timestamp":1521763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000765","name":"University College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000765","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000765","name":"University College London","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000765","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000724","name":"Health Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000724","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008721","name":"University College London Hospitals NHS Foundation Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008721","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000349","name":"National Institute for Academic Anaesthesia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000349","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2018,7]]},"abstract":"Summary<\/jats:title>\n \n Postoperative hospital stay is longer for frail, older patients, who are more likely to experience prolonged postoperative morbidity and reduced long\u2010term survival. We recorded in\u2010hospital mortality, morbidity and length of stay for 164 patients aged at least 65 years after unscheduled surgery. We evaluated pre\u2010operative frailty with the 7\u2010point Clinical Frailty Scale: 81 patients were \u2018not vulnerable\u2019 (frailty score 1\u20133) and 83 were \u2018vulnerable or frail\u2019 (frailty score\n \n 4), with mean (SD) ages of 74.7 (7.5) years vs. 79.4 (8.3) years, respectively, p < 0.001. Within 30 postoperative days 8\/164 (5%) patients died, all with frailty scores\n \n 4, p = 0.007. Postoperative morbidity was less frequent in patients categorised as \u2018not vulnerable\u2019 on four out of the six days it was measured (days 3, 5, 8, 14, 23, 28). Median (\n IQR<\/jats:styled-content>\n [range]) postoperative stay was 9 (6\u201318 [2\u2013221]) days for patients with frailty scores 1\u20133, and 22 (12\u201333 [2\u2013270]) days for patients with score\n \n 4, p < 0.001. Four variables independently associated with hospital discharge, hazard ratio (95%\n CI<\/jats:styled-content>\n ): E\u2010\n POSSUM<\/jats:styled-content>\n , 0.74 (0.60\u20130.92), p = 0.007;\n ASA<\/jats:styled-content>\n 2, 0.35 (0.13\u20130.98), p = 0.046,\n ASA<\/jats:styled-content>\n 3, 0.17 (0.06\u20130.47), p = 0.001 and\n ASA<\/jats:styled-content>\n 4\/5, 0.08 (0.02\u20130.28), p < 0.001; operative severity \u2018major +\u2019, 0.69 (0.41\u20131.08), p = 0.10 and the Surgical Outcome Risk Tool, 7.75 (0.81\u201374.40), p = 0.08.\n <\/jats:p>","DOI":"10.1111\/anae.14269","type":"journal-article","created":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T03:37:23Z","timestamp":1521776243000},"page":"819-824","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["The association of peri\u2010operative scores, including frailty, with outcomes after unscheduled surgery"],"prefix":"10.1111","volume":"73","author":[{"given":"D. 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R.","family":"Moonesinghe","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre UCL\/UCKH London UK"},{"name":"Health Services Research Centre, National Institute of Academic Anaesthesia Royal College of Anaesthetists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr182"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2012.03.001"},{"key":"e_1_2_6_5_1","first-page":"5","article-title":"Global aging: the challenge of success","volume":"60","author":"Kinsella KG","year":"2005","journal-title":"Population Bulletin"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318214bce7"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.06.012"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53159.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.4911254.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwx061"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12490"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1749-7922-8-23"},{"key":"e_1_2_6_13_1","first-page":"A4876","article-title":"Increased mortality in the elderly after emergency abdominal surgery","volume":"61","author":"Svenningsen P","year":"2014","journal-title":"Danish Medical Journal"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.007611"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0329-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.05.022"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)04402-X"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afl041"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2002.02080.x"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(94)90129-5"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830628"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6903"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9638"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199908000-00050"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.12.003"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12991"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19980430)17:8<857::AID-SIM777>3.0.CO;2-E"},{"key":"e_1_2_6_28_1","volume-title":"Analysis of survival data","author":"Cox DR","year":"1984"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.12491"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/hcv066"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e3182a4e94d"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.241"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-017-0390-7"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.14269","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.14269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T01:09:51Z","timestamp":1761700191000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.14269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,23]]},"references-count":32,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1111\/anae.14269"],"URL":"https:\/\/doi.org\/10.1111\/anae.14269","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,23]]},"assertion":[{"value":"2018-02-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}