New Perianal Sepsis Risk Score Predicts Outcome of Elderly Patients with Perianal Abscesses

Antibiotic therapy following surgical perianal abscess drainage is debated, but may be necessary for high-risk patients. Frailty has been shown to increase the risk of unfavorable outcomes in elderly This study aims identify patients by retrospectively analyzing a single-center cohort and using pretherapeutic score predict need postoperative antibiotics extended nursing care surgery. The sepsis was developed through univariable multivariable analysis. Internal validation assessed area under receiver-operating characteristic curve. Elderly, especially frail exhibited more severe disease, higher frequency antibiotic therapy, longer hospitalization, poorer clinical outcomes. Multivariable analysis revealed that scores 5-item modified frailty index, severity local infection, preoperative laboratory markers infection independently predicted prolonged hospitalization anti-infective after These factors were combined into score, which demonstrated better predictive accuracy compared with chronological age or status alone. Geriatric assessments are becoming increasingly important practice. identifies before surgery, enabling early initiation allocation additional resources.