Frontiers | Impact of Frailty on Postoperative Complications in Older Adults After Hip Fracture: A Systematic Review of Observational Studies

Impact of Frailty on Postoperative Complications in Older Adults After Hip Fracture

Purpose

Frailty is a common syndrome characterized by multisystem impairment in older adults and represents a major preoperative concern for patients with hip fractures. Despite this, the exact relationship between frailty and postoperative complications is still uncertain. This systematic review and meta-analysis aims to clarify the association between preoperative frailty and adverse surgical outcomes in elderly patients undergoing hip fracture surgery.

Methods

A comprehensive search was conducted across multiple databases, including PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, VIP, and the Cochrane Library, covering studies published between January 1, 2000, and September 2024. The focus was on cohort studies that investigated the impact of frailty on prognosis after hip fracture surgery in older adults.

Two independent researchers screened the studies, extracted relevant data, and evaluated study quality using the Newcastle-Ottawa Scale (NOS). Meta-analyses were performed using Stata 15.0 software.

"Frailty, a common syndrome involving multisystem impairment in older adults, is a significant preoperative concern for hip fracture patients."

Author's summary: This review highlights frailty as a critical factor influencing postoperative complications in elderly hip fracture patients, emphasizing the need for tailored preoperative assessment and management.

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Frontiers Frontiers — 2025-11-06

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