İsmail DUYMAZ, Hacer Şebnem TÜRK, Pınar SAYIN, Leyla KILINÇ, Mustafa Bilgehan AYIK, Ayşe SURHAN ÇINAR, Sibel OBA
Türk Geriatri Dergisi - 2025;28(4):534-544
Introduction: The objective of this study was to assess the association between elevated frailty levels and the risk of postoperative myocardial injury in elderly patients undergoing orthopedic procedures. Materials and Method: All patients aged 65 years and older who underwent surgery at the Orthopedics Department of our hospital between May 1, 2023, and May 1, 2024, were included. Demographic data such as age, sex, comorbidities, and surgical indications were documented preoperatively. Frailty status was assessed using the FRAIL Index and categorized into three groups. Results: A total of 206 patients were included in the final analysis. Among them, 56.7% were classified as frail, 33.5% as pre-frail, and 9.7% as non-frail. The overall incidence of myocardial injury after non-cardiac surgery was 44.4%, occurring in 63.2% of frail patients, 23.2% of pre-frail patients, and 5.3% of non-frail patients. Conclusion: In elderly individuals undergoing orthopedic procedures, greater degrees of frailty are strongly associated with an increased risk of postoperative myocardial injury following non-cardiac surgery.
