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Review
. 2021 Apr-Jun;24(2):133-139.
doi: 10.4103/aca.ACA_90_20.

Impact of frailty in cardiac surgical patients-Assessment, burden, and recommendations

Akshay Shanker  1 , Preeti Upadhyay  2 , Valluvan Rangasamy  2 , Kanchi Muralidhar  3 , Balachundhar Subramaniam  2
Affiliations
Review

Impact of frailty in cardiac surgical patients-Assessment, burden, and recommendations

Akshay Shanker et al. Ann Card Anaesth. 2021 Apr-Jun.

Abstract

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.

Keywords: Cardiac surgery; frailty; geriatric; perioperative; risk stratification.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Infographic regarding frailty in the cardiac surgical setting (original diagram)
See this image and copyright information in PMC

References

    1. Suzman R, Beard J. World Health Organization & US National Institute of Aging. Global Health and Aging. 2011:4.
    1. Shetty P. Grey matter: Ageing in developing countries. Lancet. 2012;379:1285–7. - PubMed
    1. Panayi AC, Orkaby AR, Sakthivel D, Endo Y, Varon D, Roh D, et al. Impact of frailty on outcomes in surgical patients: A systematic review and meta-analysis. Am J Surg. 2019;218:393–400. - PMC - PubMed
    1. Afilalo J, Mottillo S, Eisenberg MJ, Alexander K, Noiseux N, Perrault L, et al. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circ Cardiovasc Qual Outcomes. 2012;5:222–8. - PubMed
    1. Bentov I, Kaplan SJ, Pham TN, Reed MJ. Frailty assessment: From clinical to radiological tools. Br J Anaesth. 2019;123:37–50. - PubMed