Turkish Journal of
GERIATRICS

¹Gaziantep City Hospital, Anesthesiology and Reanimation, Gaziantep, Turkiye
²Kocaeli City Hospital, Anesthesiology and Reanimation, Kocaeli, Turkiye
³University of health sciences, Bilkent City Hospital, Anesthesiology and Reanimation, Ankara, Turkiye DOI : 10.29400/tjgeri.2026.494 Introduction: The global increase in the geriatric population has led to a parallel rise in the number of surgical procedures performed in elderly patients. The aim of this study was to evaluate the predictive value of the FRAIL score, ASA score, and hemogram parameters obtained in the preoperative period for postoperative mortality and morbidity. Materials and Method: This prospective study was conducted between May 1, 2020 and December 31, 2021 with geriatric patients who were scheduled for elective surgery. FRAIL score and ASA scores were assessed during the preoperative evaluation. Preoperative and postoperative hemogram parameters were recorded for all patients. Results: A total of 167 patients were included in the study, of whom 56 (33.5%) were female and 111 (66.5%) were male. The mean age of the patients was 74.6±8.01 (age range 65-102). According to the FRAIL score, 66 patients (39.5%) were categorized as robust, 63 patients (37.7%) as prefrail, and 38 patients (22.8%) as frail. FRAIL score, ASA score, preoperative NLR, postoperative NLR, preoperative RDW-SD, and postoperative RDW-SD were identified as the most significant parameters associated with postoperative mortality and morbidity (p<0.0001, p<0.0001, p<0.0001, p=0.002, p<0.0001, respectively). Conclusion: Our findings suggest that combined preoperative evaluation of ASA score, FRAIL score, NLR, and RDW of the geriatric patients may improve the prediction of postoperative mortality and morbidity during the three- month follow-up period. These parameters, when used together, may provide a practical and effective approach for perioperative risk stratification in geriatric patients. Keywords : Geriatric Anesthesia; Frailty; Preoperative Period; Erytrocyte Indices; Neutrophils; Lymphocytes