Key result
This review summarizes frailty models, assessment tools, and assistant indexes to provide a reference for selecting clinical frailty assessment tools for elderly patients undergoing elective surgery.
This review summarizes perioperative frailty assessment tools to guide clinical selection for elderly patients undergoing elective surgery.
Frailty assessment may aid preoperative risk stratification in elderly elective surgery; leaves open validation of scales in Chinese cohorts.
Frailty refers to the state of decreased physiological function reserve caused by the increase of age-related multisystemic accumulated defects. The number of elderly patients with frailty undergoing elective operations is gradually increasing. The stages of frailty have strong correlation with the prognosis and mortality after surgery. By summarizing the frailty assessment scales used in foreign countries, we provide reference to the selection of clinical frailty assessment tools in Chinese population. This article reviewed two frailty models (phenotype model and the cumulative deficit model) and three assessment tools [Simple Frailty Questionnaire (FRAIL), Edmonton Frail Scale (EFS) and Program on Research for Integrating Services for the Maintenance of Autonomy (PRISMA)- 7 Scale]. In addition, three assistant indexes [handgrip strength, gait speed and Timed Up-And-Go Test (TUGT)] are introduced. The present review provides reference for the studies on perioperative complications in patients with frailty.
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Zhu et al. (2019) conducted a review in Frailty in elderly patients undergoing elective operations. Perioperative frailty assessment tools was evaluated. This review summarizes frailty models, assessment tools, and assistant indexes to provide a reference for selecting clinical frailty assessment tools for elderly patients undergoing elective surgery.
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