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Current Anesthesiology Reports
Published in: Current Anesthesiology Reports 2/2018

01-06-2018 | Geriatric Anesthesia (S Akhtar, Section Editor)

Frailty and Perioperative Outcomes

Authors: Ranjit Deshpande, William Stuart Asch, Maricar Malinis

Published in: Current Anesthesiology Reports | Issue 2/2018

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Abstract

Purpose of Review

Frailty is associated with serious adverse outcomes, such as disability, health care utilization, and death in the perioperative period. In this review, we discuss surgical outcomes in a frail individual, and risk stratification for a frail individual.

Recent Findings

Frailty is associated with increased length of hospital stay and 30- and 90-day mortality. The data on association of frailty on discharge to home and quality of life is scant, but it is likely that they are closely related. Prehabilitation involving a diet and exercise program seems to improve outcomes in the frail surgical candidates.

Summary

Making a surgical decision in frail patients is complex. Frailty is commonly associated with the older age group. The balance between high operative risk and the potential benefits of surgery is not always clear. The challenge lies in effectively identifying patients that will benefit most from operative intervention and then optimize them for surgery.
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Metadata
Title
Frailty and Perioperative Outcomes
Authors
Ranjit Deshpande
William Stuart Asch
Maricar Malinis
Publication date
01-06-2018
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 2/2018
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-018-0275-4

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