Examination of predictive factors for postoperative decline in daily living activities in elderly patients

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10311
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: University of Tsukuba
• Principal Investigator: Fukuda Taeko 筑波大学, 医学医療系, 教授 (40228911)
• Co-Investigator(Kenkyū-buntansha): 堀口 裕正 独立行政法人国立病院機構本部(総合研究センター), 診療情報分析部, 副部長 (50401104) ; 今井 志乃ぶ 東京薬科大学, 薬学部, 准教授 (50608750)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 高齢患者 / 手術 / 日常生活活動

Outline of Final Research Achievements

Prediction formulas were developed to predict decline in activities of daily living after surgery for hip fracture or colorectal cancer in this study. Since the mean age of patients with hip fracture was 84-85 years and the mean age of patients with colorectal cancer was 73 years, it was not possible to construct a prediction formula using exactly the same variables. However, for both surgeries, we were able to develop a formula to predict postoperative decline in activities of daily living based on basic patient information and preoperative routine laboratory data.

Free Research Field

麻酔科

Academic Significance and Societal Importance of the Research Achievements

高齢者の術後生活活動の低下は、本人・家族・社会保障に対して大きな影響・負担をもたらす。高齢化社会になって、年齢に拘らず大規模手術が施行されるようななってきた現在、この生活活動能力の低下をいかに防ぐかは大きな課題となっている。予防するためには、まず正確に且つ簡易に予想できることが重要である。本研究は、この予測という点で、今後大きな貢献ができるものと考えられる。