Correlation of Preoperative Geriatrics 8 Score and Postoperative Complications in Older Adult Patients with Head and Neck Cancer: A Prospective Observational Study

Authors: Chindavijak S* and Lertseree S

DOI: 10.23880/ooaj-16000261

Volume 8, Issue 1

Abstract

Objective: To study the correlation between score on the Geriatric 8 (G8) preoperative assessment scale and major postoperative complications in older adult patients with head and neck cancer. Material and Methods: A prospective study of older adult patients with head and neck cancer who underwent surgery during December 2020 to June 2022 was conducted after ethical approval was received from Rajavithi Hospital committee. G8 scores were collected before surgery and their correlation with complication outcomes analyzed. Results: Of 104 patients included in this study, mean age was 68.84 ± 6.99 years. Patients with G8 score ≤ 14 (73 cases, 70.2%) were classified as the frail group and 30 patients (28.8%) had Clavien-Dindo complications at grade III–IV, among which 26 (86.7%) were in the frail group and 4 (13.3%) were in the non-frail group, which was a significant difference (p = 0.019). Conclusion: G8 score was correlated with major postoperative complication, and has potential for application as preoperative assessment tool, in older adult patients undergoing surgery for head and neck cancer

Keywords: Geriatric 8 Score; Geriatric Head and Neck Cancer; Post-Operative Complications

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