eprintid: 10203031
rev_number: 7
eprint_status: archive
userid: 699
dir: disk0/10/20/30/31
datestamp: 2025-01-08 12:06:29
lastmod: 2025-01-08 12:06:29
status_changed: 2025-01-08 12:06:29
type: article
metadata_visibility: show
sword_depositor: 699
creators_name: Swarbrick, Claire Jane
creators_name: Williams, Karen
creators_name: Evans, Bob
creators_name: Blake, Helen Abigail
creators_name: Poulton, Thomas
creators_name: Nava, Samuel
creators_name: Shah, Akshay
creators_name: Martin, Peter
creators_name: Louise Partridge, Judith Stephanie
creators_name: Moppett, Iain Keith
title: Characteristics of older patients undergoing surgery in the UK: SNAP-3, a snapshot observational study
ispublished: inpress
divisions: UCL
divisions: B02
divisions: C10
divisions: D16
divisions: D12
divisions: G88
divisions: G21
keywords: ageing; epidemiology; frailty syndrome; geriatric medicine; multimorbidity; perioperative care; surgery
note: © 2024 The Author(s). Published by Elsevier Ltd on behalf of British Journal of Anaesthesia. This is an open access article under the CC BY license (http://
creativecommons.org/licenses/by/4.0/).
abstract: Background: Frailty and multimorbidity are common in older adults, but the prevalence and interaction of these conditions in surgical patients remain unclear. This study describes the clinical characteristics of a heterogeneous cohort of
older UK surgical patients.
Methods: We conducted a prospective observational cohort study during 5 days in March 2022, aiming to recruit all UK
patients aged 60 yr and older undergoing surgery, excluding minor procedures (e.g. cataract surgery). Data were collected
on patient characteristics, clinical care, frailty, and multimorbidity measures.
Results: A total of 7134 patients from 214 NHS hospitals were recruited, with a mean (SD) age of 72.8 (8.1) yr. Of all operations, 69% (95% confidence interval [CI] 67.9e70.1%) were elective, and 34% (95% CI 32.7e34.8%) were day cases. Of the
patients, 19% (95% CI 18.3e20.1%) were living with frailty (Clinical Frailty Score 5), and 63.1% (95% CI 62.0e64.3%) were
living with multimorbidity (count of 2 comorbidities). Those living with frailty, multimorbidity, or both were typically
older, were from lower socioeconomic backgrounds, and experienced greater polypharmacy and reduced independence.
Patients living with frailty were less likely to undergo elective and day-case surgeries. Four out of five (78.8% [1079/1369])
of those who were living with frailty were also living with multimorbidity; 27.1% (1079/3978) of those who were living
with multimorbidity were also living with frailty.
Conclusions: In the UK, one in five older patients undergoing surgery is living with frailty, and almost two-thirds of older
patients are living with multimorbidity. These data highlight the importance of frailty screening. In addition, they can
serve to guide resource allocation and provide comparative estimates for future research.
date: 2025-01
date_type: published
publisher: Elsevier BV
official_url: https://doi.org/10.1016/j.bja.2024.11.024
oa_status: green
full_text_type: pub
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 2347170
doi: 10.1016/j.bja.2024.11.024
lyricists_name: Martin, Peter
lyricists_name: Poulton, Thomas
lyricists_name: Blake, Helen
lyricists_id: PMART69
lyricists_id: TEPOU24
lyricists_id: HBLAK64
actors_name: Martin, Peter
actors_id: PMART69
actors_role: owner
full_text_status: public
publication: British Journal of Anaesthesia
issn: 0007-0912
citation:        Swarbrick, Claire Jane;    Williams, Karen;    Evans, Bob;    Blake, Helen Abigail;    Poulton, Thomas;    Nava, Samuel;    Shah, Akshay;             ... Moppett, Iain Keith; + view all <#>        Swarbrick, Claire Jane;  Williams, Karen;  Evans, Bob;  Blake, Helen Abigail;  Poulton, Thomas;  Nava, Samuel;  Shah, Akshay;  Martin, Peter;  Louise Partridge, Judith Stephanie;  Moppett, Iain Keith;   - view fewer <#>    (2025)    Characteristics of older patients undergoing surgery in the UK: SNAP-3, a snapshot observational study.                   British Journal of Anaesthesia        10.1016/j.bja.2024.11.024 <https://doi.org/10.1016/j.bja.2024.11.024>.    (In press).    Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10203031/1/Swarbrick%20et%20al%20%282025%29%20Characteristics%20of%20older%20surgery%20patients%20-%20corrected%20proof.pdf