Geriatrics 8 scores as a predictor of postoperative outcome in elderly patients with Head and Neck cancer in Rajavithi Supertertiary Care Hospital

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Abstract

Background To determine preoperative Geriatric 8 (G8) score in predicting postoperative complications for elderly head and neck cancer patients. Material and Methods The prospective study in elderly head and neck cancer patients who underwent surgery during 30th January 2021-25th January 2022. G8 score were collected before surgery and analysed for the association with complication outcome. Result Of 104 patients included in this study, The mean age was 68.84 (SD =6.99 years). The Geriatric 8 (G8)score ≤ 14 which were frail group in 73 cases (70.2%) The Clavien-Dindo complications grade III-IV were 30 patients (28.8%). Among these groups, 26 patients (86.7%) was in frail groups and 4 patients (13.3%) with non frail group which is statistically significant different (p=0.019) and Odd ratio of 3.32, CI =1.01-10.87, p=0.048 Conclusion The G8 score is a practical tool for prediction post operative complication in elderly Head and Neck Cancer surgery.

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