{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T21:29:25Z","timestamp":1773091765147,"version":"3.50.1"},"reference-count":43,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) is a validated instrument used to predict morbidity. The aim of our study was to evaluate the performance of the POSSUM score system on predicting perioperative frailty and quality of life (QOL) in elderly surgical patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients and Methods:<\/jats:title>\n            <jats:p>An observational prospective study was conducted during 3 months. POSSUM was used to determine operative morbidity risk. Patients with a POSSUM score \u226526 were considered as having a high POSSUM (PHP). WHODAS 2.0, EuroQOL-5 dimensions (EQ-5D), Charlson score, and the Clinical Frailty Scale were used to assess the QOL and frailty. Chi-square, Fisher\u2019s exact, or Mann\u2013Whitney tests were used for comparisons.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Two hundred and thirty-five patients were included. Median age was 69 years; 58% were ASA I\/II and 42% ASA III\/IV. Frailty was present in 53 patients (23%). Median POSSUM score was 26. Patients PHP were older (median age 71 vs. 68, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.008), more frequently ASA III\/IV (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), had higher median Charlson scores (7 vs. 5, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.006) and were more frail (49% vs. 26%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). PHP presented more problems in EQ-5D dimensions preoperatively (mobility: 59% vs 41%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.008; care: 41% vs. 25%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.013; activity: 52% vs. 32%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002; pain: 59% vs. 45%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.041) but not anxiety (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.137). Three months after surgery, PHP patients presented more problems in mobility: 63% vs. 38%, <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001; care: 48% vs. 31%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.009; activity: 58% vs. 44%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.036; pain 59% vs. 37%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001 and anxiety: 54% vs. 50%, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.025.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Patients PHP were frailer and had worse perioperative QOL.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/sja.sja_275_18","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T06:40:49Z","timestamp":1682318449000},"page":"3-8","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Physiological and operative severity score for the enumeration of mortality and morbidity, frailty, and perioperative quality of life in the elderly"],"prefix":"10.4103","volume":"13","author":[{"given":"Maria Jo\u00e3o M.","family":"Lima","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Porto University, Porto, Portugal"}]},{"given":"Daniela F. 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