Key result
Comprehensive preoperative risk stratification including frailty assessment is linked to long-term survival after lung resection.
Why the study?
Preoperative evaluation of older and more morbid patients in thoracic surgery requires advanced risk stratification beyond classical medical findings to improve clinical outcomes.
Comprehensive preoperative risk stratification, including frailty assessment, provides valuable guidance for perioperative management and improves outcomes in thoracic surgery patients.
PURPOSE OF REVIEW: Preoperative evaluation of older and more morbid patients in thoracic surgery is getting more advanced. In this context, early risk stratification has a crucial role for adequate informed decision-making, and thus for generating favourable effects of clinical outcome. RECENT FINDINGS: Recent findings confirm that many risk factors impair mortality and morbidity beyond classical medical findings like results of lung function tests and values of the revised cardiac risk index. Especially results from holistic views on patients' functional status like frailty assessments are linked with long-term survival after lung resection. SUMMARY: A comprehensive risk stratification by anaesthesiologists generates valuable guidance for the best strategy of clinical treatment. This includes preoperative, peri-operative and postoperative interventions, provided by interdisciplinary healthcare providers, resulting in an Early Risk Stratification and Strategy ('ERSAS') pathway.
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A 2021 study conducted a review in thoracic surgery. Preoperative evaluation and risk stratification was evaluated. Comprehensive preoperative risk stratification, including frailty assessments, guides perioperative management and is linked with long-term survival after lung resection.
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