Frailty and dependency are common conditions among older adults undergoing cardiac surgery and may adversely affect postoperative recovery and readiness for hospital discharge. Early identification of these conditions before surgery may facilitate individualized perioperative care and improve postoperative outcomes. This observational study aims to investigate the effects of preoperative frailty and dependency on postoperative recovery and readiness for hospital discharge in older patients undergoing cardiac surgery. Data will be collected before surgery and at hospital discharge using validated assessment instruments. The findings are expected to support preoperative risk assessment and contribute to individualized nursing care planning for older cardiac surgery patients.
Eligibility
Sex
ALL
Min age
65 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
* Age between 65 and 85 years
* Scheduled to undergo cardiac surgery (coronary artery bypass graft surgery,
* Bentall procedure, heart valve surgery, or aneurysm surgery)
* No surgical history within the previous two months
* Able to read and write Turkish
* No hearing impairment
* Willing to participate and provide written informed consent
Exclusion Criteria:
* Surgery within the previous eight weeks
* Diagnosis of a psychiatric disorder
* Withdrawal of consent during the study
* Incomplete study questionnaires
Primary outcome measure(s)
Postoperative Recovery — At hospital discharge (approximately postoperative day 6) Postoperative recovery will be assessed using the Postoperative Recovery Index. The scale consists of 5 subdimensions and 25 items. The subdimensions are: psychological symptoms, physical activities, general symptoms, bowel symptoms, and desire symptoms. When determining subdimension scores, the scores of the relevant items are summed and their arithmetic mean is calculated. For the total score, all items are summed and their arithmetic mean is calculated. High scores on the index reflect greater difficulties in postoperative recovery, while low scores indicate easier postoperative recovery.
Readiness for Hospital Discharge — At hospital discharge (approximately postoperative day 6) Readiness for hospital discharge will be assessed using the Readiness for Hospital Discharge Scale-Short Form. The scale consists of 8 questions and 4 sub-dimensions: personal situation, knowledge, coping, and expected support. The questions are evaluated on a scale of '0=not ready' to '10=completely ready'. A total score of 0-80 can be obtained from the scale based on the answers given to the questions; a higher score indicates a higher level of readiness for discharge. On the scale dimensions, a score of 7 and above indicates readiness for discharge, while a score below 7 indicates readiness for discharge.
Trial sites (1)
Facility
City
Region
Status
Aydın Adnan Menderes University
Aydin
Zafer Mahallesi
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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