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September 12, 2022Anaesthesia

Frailty and emergency surgery: identification and evidence‐based care for vulnerable older adults

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Why the study?

Older adults with frailty undergoing emergency surgery have increased risks of morbidity, mortality, delirium, and loss of independence, requiring individualised and evidence-based care.

Population

Older surgical patients with frailty presenting for emergency surgery

Design

Review

Authors

DGD. GottesmanDMDaniel I. McIsaac

Discussion

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Overview

Substantially higher peri-operative risks with frailty; hypothesis-generating for mitigation strategies in older surgical patients.

Structured PICO

P
Population
Older surgical patients with frailty presenting for emergency surgery
I
Intervention
Evidence-based peri-operative care including multidimensional frailty assessment (e.g., Clinical Frailty Scale), shared decision-making, multidisciplinary care, and delirium prevention

Frailty assessment and individualized multidisciplinary peri-operative care are essential for older adults undergoing emergency surgery to mitigate high risks of morbidity, mortality, and loss of independence.

Cite This Study

Gottesman et al. (2022) studied this question.

synapsesocial.com/papers/69d766f1db9d5e1bf4b8a33dhttps://doi.org/10.1111/anae.15860
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1What are frailty instruments for?2015 · 123 citations
  2. 2Family Presence for Critically Ill Patients During a Pandemic2021 · 58 citations
  3. 3Association of a Frailty Screening Initiative With Postoperative Survival at 30, 180, and 365 Days2016 · 378 citations
  4. 4Development and validation of an electronic frailty index using routine primary care electronic health record data2016 · 1,379 citations
  5. 5Frailty as a Predictor of Death or New Disability After Surgery2018 · 294 citations