ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМП10.25789/YMJ.2025.89.08ymj-414Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHИндекс хрупкости и его роль в неотложной хирургии острых заболеваний брюшной полости у пожилых пациентовFrailty index and its role in emergency surgery of acute abdominal diseases in elderly patientshttps://orcid.org/0000-0002-4075-9770ХагвердиевБ. Д.KhagverdievB. D.

Хагвердиев Бахтияр Давидович – к.м.н., докторант

AZ1012, Азербайджанская Республика, г. Баку, проспект Тбилиси, 3165 

med_avtor@mail.ruhttps://orcid.org/0000-0002-1233-656XГасымовН. А.KhagverdievN. A.

Гасымов Назим Акиф оглы – д.м.н., проф., зав. кафедрой, ректор

AZ1012, Азербайджанская Республика, г. Баку, проспект Тбилиси, 3165 

Азербайджанский государственный институт усовершенствования врачей им. А. АлиеваAzerbaijan202518032025013236Copyright © Хагвердиев Б.Д., Гасымов Н.А., 20252025Хагвердиев Б.Д., Гасымов Н.А.Khagverdiev B.D., Khagverdiev N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/414

В исследовании приняли участие пациенты в возрасте старше 62 лет с острыми заболеваниями органов брюшной полости, которым было проведено хирургическое лечение. Пациенты были разделены на две группы на основании индекса хрупкости по шкале Эдмонтона. Осложнения классифицировались по системе Clavien-Dindo. Оценивались ближайшие и отдаленные результаты хирургического лечения. Осложнения в ближайшем послеоперационном периоде 2-й и 3-й степени тяжести были значительно больше у пациентов с высоким индексом хрупкости, а осложнения 1-й степени чаще встречались у пациентов без хрупкости. В группе с высоким индексом хрупкости наблюдались неудовлетворенные отдаленные результаты, включая повышение риска повторной госпитализации и снижение функционального статуса. Оценка хрупкости играет ключевую роль в улучшении послеоперационных результатов у пожилых пациентов с острыми заболеваниями органов брюшной полости.

The study involved patients over the age of 62 years with acute diseases of the abdominal cavity, who underwent surgical treatment. The patients were divided into two groups based on the Edmonton fragility index. Complications were classified according to the Clavien-Dindo system. The immediate and long-term results of surgical treatment were evaluated. Complications in the immediate postoperative period of the 2nd and 3rd degrees of severity were significantly greater in patients with a high fragility index, and complications of the 1st degree were more common in patients without fragility. In the group with a high fragility index, unsatisfied long-term results were observed, including an increased risk of re-hospitalization and a decrease in functional status. Fragility assessment plays a key role in improving postoperative outcomes in elderly patients with acute abdominal diseases.

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The authors declare that there are no conflicts of interest present.