Why the study?
Elderly cardiac surgery patients face adverse postoperative outcomes, yet no universally accepted frailty definition or measurement tool exists, and routine perioperative assessment is often ignored.
This narrative review emphasizes the importance of routine perioperative frailty assessment in elderly cardiac surgical patients to mitigate adverse outcomes and healthcare burden.
Frailty assessment may identify high-risk elderly cardiac surgery patients; leaves open need for standardized tools and prospective validation.
Elderly patients undergoing cardiac surgery are at an increased risk of adverse postoperative outcomes. Frailty, a state of decreased physiological reserve, is highly prevalent among elderly patients. Despite being associated with adverse surgical outcomes, no universally accepted definition or measurement tool for frailty exists. Moreover, regardless of all the recommendations, a routine perioperative frailty assessment is often ignored. In addition to complications, frailty increases the burden to the healthcare system, which is of particular concern in Southeast Asia due to its socioeconomically disadvantaged and resource limited settings. This narrative review focuses to develop clinical practice plans for perioperative frailty assessment in the context of a cardiac surgical setting.
No takes yet. Share an insight, caveat, or question.
Shanker et al. (2021) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: