BACKGROUND: Frailty is a geriatric syndrome characterized by the clinical presentation of identifiable physical alterations and decreased physiological reserve. The assessment of frailty syndrome has been recently related with post-surgical outcomes and overall mortality in older individuals. DESIGN AND DATA SOURCES: We performed searches in Pubmed, Embase, Scopus, SCIELO and IME (Spanish medical index) databases from their start dates to February 2014 for original papers about the identification of the relationship between frailty and pre-operative risk evaluation in people aged 65 and over. REVIEW METHODS: We followed criteria of systematic PRISMA guidelines. Two independent reviewers extracted descriptive information on frailty criteria and outcomes from the selected papers: of the 77 articles retrieved from the searches, 32 met the study inclusion criteria. RESULTS: Severity of frailty syndrome significantly correlated with post-surgical mortality rates and with many although not all post-surgical complications. These relationships emerge in different type of surgical procedures and patients' features. The comparison of diagnostic tools to assess frailty in pre-operative risk evaluation are very few and to date, no recommendation can be made about the best scale to measure it. CONCLUSION: Assessment of frailty syndrome should be added in the pre-operative risk assessment in older individuals.
BACKGROUND: Frailty is a geriatric syndrome characterized by the clinical presentation of identifiable physical alterations and decreased physiological reserve. The assessment of frailty syndrome has been recently related with post-surgical outcomes and overall mortality in older individuals. DESIGN AND DATA SOURCES: We performed searches in Pubmed, Embase, Scopus, SCIELO and IME (Spanish medical index) databases from their start dates to February 2014 for original papers about the identification of the relationship between frailty and pre-operative risk evaluation in people aged 65 and over. REVIEW METHODS: We followed criteria of systematic PRISMA guidelines. Two independent reviewers extracted descriptive information on frailty criteria and outcomes from the selected papers: of the 77 articles retrieved from the searches, 32 met the study inclusion criteria. RESULTS: Severity of frailty syndrome significantly correlated with post-surgical mortality rates and with many although not all post-surgical complications. These relationships emerge in different type of surgical procedures and patients' features. The comparison of diagnostic tools to assess frailty in pre-operative risk evaluation are very few and to date, no recommendation can be made about the best scale to measure it. CONCLUSION: Assessment of frailty syndrome should be added in the pre-operative risk assessment in older individuals.
Authors: Harveshp Mogal; Sarah A Vermilion; Rebecca Dodson; Fang-Chi Hsu; Russell Howerton; Perry Shen; Clancy J Clark Journal: Ann Surg Oncol Date: 2017-01-05 Impact factor: 5.344
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Authors: Milena Dos Santos Mantovani; Nyara Coelho de Carvalho; Marcos Ferreira Minicucci; Luis Gustavo Modelli de Andrade; Ricardo de Souza Cavalcante; Gabriel Berg de Almeida; Nara Aline Costa; Julhiany de Fátima da Silva; Ricardo Augusto Monteiro de Barros Almeida Journal: J Nephrol Date: 2022-09-01 Impact factor: 4.393
Authors: Tyler S Wahl; Laura A Graham; Mary T Hawn; Joshua Richman; Robert H Hollis; Caroline E Jones; Laurel A Copeland; Edith A Burns; Kamal M Itani; Melanie S Morris Journal: JAMA Surg Date: 2017-08-01 Impact factor: 14.766