The Frailty as a Predictor of Complications in Elderly Patients Undergoing Percutaneous Nephrolithotomy

Document Type : Original Article

Authors

1 Clinical Demonstrator in Gerontological Nursing, Faculty of Nursing, Assiut University.

2 Professor of Urology, Faculty of Medicine, Assiut University.

3 Professor of Gerontological Nursing, Faculty of Nursing, Assiut University.

Abstract

Background: As the aging demographic expands, understanding the impact of frailty on surgical outcomes becomes vital. Percutaneous nephrolithotomy (PCNL) is a minimally invasive procedure used to treat kidney stones; however, elderly patients may be at higher risks of complications due to frailty.  Study Aim: Assess frailty as a predictor of complications among elderly patient undergoing PCNL. Subject & methods: Descriptive research design was utilized. Setting: The study was conducted at Assiut Urology University Hospital. Purposive sample, sample size was 85 elderly who underwent PCNL. Three tools were used. Tool (I): Patient interview questionnaire divided into three parts, Part 1: demographic data and personal habits, Part 2: patient history, Part 3: Imaging studies. Tool (II): Frailty Phenotype Questionnaire (FPQ), Tool (III): Clavien-Dindo complications grading system. Results: The total number of studied elderly was 85, with a mean age of 66.98 years and 63.5% of them were male, about half of studied elderly were prefrail (50.6%), and more than half of them had no complications represented 54.1%. Conclusion: The present study concluded that although the complications rate in studied frail elderly patients was about twice that of robust elderly patients, there was no statistical significant association between overall complications rate and frailty level. Recommendations: Conduct larger, multicenter studies to better understand the relationship between frailty and complications in elderly patients undergoing PCNL, potentially exploring specific risk factors and outcomes.

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