Background: Frailty affects up to 51%of the geriatric population in developing countries which leads to increased morbidity and mortality. Objective: To determine the association between pre-operative frailty through multidimentional assessment score, and the incidence of post-operative complications and to validate Robinson score in geriatric Egyptian patients undergoing elective cardiac surgery. Methods: We recruited 180 elderly participants aged 60 years old and above, who underwent elective cardiac surgery. They were divided into frail, pre-frail, and non-frail groups after application of Robinson score (which includes cognitive and functional and fall risk assessment, number of comorbidities, and different laboratory data). Type and duration of operations and the presence and severity of complications at days 3 and 7 post-surgery, and the 30-day readmission rate were assessed. Results: Operation duration and the occurrence of postoperative complications at days 3 and 7 were lowest in non-frail and highest in the frail group (p <  0.001 for both). Length of hospital stay and 30-day readmission rate also increased in the frail group. A positive, moderate correlation between frailty and blood transfusion (r = 0.405) and functional dependence (r = 0.552) was found at day-3 post-surgery. Finally, logistic regression analysis identified a 6-fold increase in postoperative complications in the frail group (OR = 6). Conclusion: Preoperative frailty was associated with higher incidence of postoperative complications among geriatric patients undergoing elective cardiac surgery. Frailty assessment by Robinson score can be considered as an accurate tool to predict postoperative complications during preoperative assessment of elderly patients.

Background Hospital readmission rates following surgery are increasingly used as a marker of quality of care. However, studies on readmission rates in surgical patients are limited by the restricted number of procedures they examine, the exclusive age categories that are included, and the lack of distinction of elderly patients from other surgical patients 1. It has been shown that outcomes in surgical patients, including readmission rates, vary significantly by patient age, procedure type, and surgical specialty 2. Older adults are an increasing proportion of surgical care, greater than 35% of all inpatient operations being performed in adults 65 years or older, with cardiac operations being one of the common major elective operations in older adults 3. However, literature on readmissions after cardiac operations is scant and additional data are needed to identify the prevalence, etiology and risk factors of readmissions in order to develop targeted quality initiatives. The goal of this study was to assess the frequency and risk factors associated with hospital readmissions for elderly patients undergoing cardiac operations one

Background: Physical activity is known to increase average life expectancy and decrease the risk of development and progression of most chronic degenerative disease states. Strenuous physical activities are found to be associated with a reduced risk of coronary heart disease (CHD) and a significant improvement in glucose control and insulin sensitivity while physical activities of lower intensities were not. However, strenuous exercise was found to increase bone resorption, without a concomitant increase in formation in young adults rendering the bone vulnerable to fracture but there is lack of data supporting these findings among healthy aged population.