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July 18, 2017Monaldi Archives for Chest DiseaseOpen Access

Prognostic impact of frailty in elderly cardiac surgery patients

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Key result

Frailty predicts higher perioperative mortality and major morbidity in elderly cardiac surgery patients.

Population

Elderly patients requiring cardiovascular surgery

Design

Review

Authors

FVFrancesco VettaOspedale San Filippo NeriGLGabriella LocorotondoCardiac ImagingGVGiampaolo VettaElectrophysiology

Discussion

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Member takes

Implication

May support frailty screening in preoperative cardiac surgery evaluation; leaves open whether interventions improve outcomes.

Structured PICO

P
Population
A review summarizing the prognostic impact of frailty and functional assessments on perioperative outcomes in elderly patients undergoing cardiac surgery.
E
Exposure
Frailty syndrome assessment (e.g., gait speed)
O
Outcome
Perioperative outcomes and prognosis

Frailty assessment provides important prognostic value beyond chronological age and traditional risk scores for elderly patients undergoing cardiovascular surgery.

Limitations

  • Significant heterogeneity in the criteria for frailty
  • Lack of a unique, fast, and easy-to-use tool to assess frailty syndrome
  • Need for further large prospective studies to validate frailty assessment tools

Cite This Study

Vetta et al. (2017) conducted a review in Elderly patients undergoing cardiac surgery. Frailty vs. Non-frail was evaluated. Frailty syndrome, particularly assessed by functional parameters like gait speed, is a significant predictor of increased perioperative mortality and major morbidity in elderly cardiac surgery patients.

synapsesocial.com/papers/6aa89f5e4e2a0642f01d65f5https://doi.org/10.4081/monaldi.2017.855
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