Physical function in multimorbid elderly patients undergoing major surgery

Introduction: Enhancement of exercise capacity (EC) and physical activity (PA) are core components of preoperative programs for optimization of multimorbid patients undergoing major surgery. However, the relationship between these 2 components has never been explored in this population. Aim: To explore baseline relationship of EC & PA in multimorbid patients included in a preoperative optimization program. Methods: Main inclusion criteria: 1) Undergoing major surgery; 2) High-risk for surgical complications defined by age≥70 and/or American Society of Anesthesiologists risk scale 3-4. Six-minute walk distance Results: 106 patients were included in the study. Main univariate analysis results are shown in table 1. Multivariate analysis results, taking fit & active as a reference group, are shown in table 2. Conclusions: Age, morbidity and frailty are factors associated to EC and PA in multimorbid elderly patients undergoing major surgery. These findings may contribute to enhance personalisation of preoperative optimization programs.