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. 2024 Jun;37(2):224-239.
doi: 10.1053/j.semvascsurg.2024.04.003. Epub 2024 Apr 21.

Decision making in the frail vascular surgery patient: A scoping review

Arash Fereydooni  1 , Cali E Johnson  2 , Benjamin S Brooke  2 , Shipra Arya  3
Affiliations

Decision making in the frail vascular surgery patient: A scoping review

Arash Fereydooni et al. Semin Vasc Surg. 2024 Jun.

Abstract

Increasing evidence highlights the adverse impact of frailty and reduced physiologic reserve on surgical outcomes. Therefore, identification of frailty is essential for older adults being evaluated for vascular surgery procedures. Numerous frailty assessment tools are available to quantify the level of frailty and assist in preoperative decision making for these older patients. This review evaluates traditional and novel frailty metrics for their scientific validation, limitations, and clinical utility in vascular surgery decision-making.

Keywords: Decision making; Frailty; Risk Assessment Index; Risk assessment; Vascular surgery.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.

Figures

Fig. 1 –
Fig. 1 –
Decision-making algorithm in treatment of older or clinically high-risk patients being considered for vascular surgery.
See this image and copyright information in PMC

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