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Frailty in the older surgical patient: a review

The rate of surgical procedures in the older population is rising. Despite surgical, anaesthetic and medical advances, older surgical patients continue to suffer from adverse postoperative outcomes. Comorbidities and reduction in physiological reserve are consistently identified as major predictors... Full description

Journal Title: Age and ageing 2012-03, Vol.41 (2), p.142-147
Main Author: Partridge, Judith S. L
Other Authors: Harari, Danielle , Dhesi, Jugdeep K
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: England: Oxford University Press
ID: ISSN: 0002-0729
Link: https://www.ncbi.nlm.nih.gov/pubmed/22345294
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title: Frailty in the older surgical patient: a review
format: Article
creator:
  • Partridge, Judith S. L
  • Harari, Danielle
  • Dhesi, Jugdeep K
subjects:
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Biological organs
  • Care and treatment
  • Comorbidity
  • Company business management
  • Complications
  • Control
  • Frail Elderly
  • Frailty
  • Geriatric Assessment
  • Geriatrics
  • Health aspects
  • Health Status Indicators
  • Humans
  • Management
  • Methods
  • Morbidity-Mortality
  • Older people
  • Patient Selection
  • Postoperative care
  • Postoperative complications
  • Postoperative Complications - etiology
  • Postoperative period
  • Reserves
  • Risk Assessment
  • Risk Factors
  • Surgery
  • Surgical Procedures, Operative - adverse effects
  • Terminology as Topic
  • Treatment Outcome
ispartof: Age and ageing, 2012-03, Vol.41 (2), p.142-147
description: The rate of surgical procedures in the older population is rising. Despite surgical, anaesthetic and medical advances, older surgical patients continue to suffer from adverse postoperative outcomes. Comorbidities and reduction in physiological reserve are consistently identified as major predictors of poor postoperative outcome in this population. Frailty can be defined as a lack of physiological reserve seen across multiple organ systems and is an independent predictor of mortality, morbidity and institutionalisation after surgery. Despite this identification of frailty as a significant predictor of adverse postoperative outcome, there is not yet a consensus on the definition of frailty or how best to assess and diagnose it. This review describes our current definitions of frailty and discusses the available methods of assessing frailty, the impact on the older surgical population and the emerging potential for modification of this important syndrome.
language: eng
source:
identifier: ISSN: 0002-0729
fulltext: no_fulltext
issn:
  • 0002-0729
  • 1468-2834
url: Link


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descriptionThe rate of surgical procedures in the older population is rising. Despite surgical, anaesthetic and medical advances, older surgical patients continue to suffer from adverse postoperative outcomes. Comorbidities and reduction in physiological reserve are consistently identified as major predictors of poor postoperative outcome in this population. Frailty can be defined as a lack of physiological reserve seen across multiple organ systems and is an independent predictor of mortality, morbidity and institutionalisation after surgery. Despite this identification of frailty as a significant predictor of adverse postoperative outcome, there is not yet a consensus on the definition of frailty or how best to assess and diagnose it. This review describes our current definitions of frailty and discusses the available methods of assessing frailty, the impact on the older surgical population and the emerging potential for modification of this important syndrome.
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subjectAge Factors ; Aged ; Aged, 80 and over ; Biological organs ; Care and treatment ; Comorbidity ; Company business management ; Complications ; Control ; Frail Elderly ; Frailty ; Geriatric Assessment ; Geriatrics ; Health aspects ; Health Status Indicators ; Humans ; Management ; Methods ; Morbidity-Mortality ; Older people ; Patient Selection ; Postoperative care ; Postoperative complications ; Postoperative Complications - etiology ; Postoperative period ; Reserves ; Risk Assessment ; Risk Factors ; Surgery ; Surgical Procedures, Operative - adverse effects ; Terminology as Topic ; Treatment Outcome
ispartofAge and ageing, 2012-03, Vol.41 (2), p.142-147
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0The Author 2012. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2012
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abstractThe rate of surgical procedures in the older population is rising. Despite surgical, anaesthetic and medical advances, older surgical patients continue to suffer from adverse postoperative outcomes. Comorbidities and reduction in physiological reserve are consistently identified as major predictors of poor postoperative outcome in this population. Frailty can be defined as a lack of physiological reserve seen across multiple organ systems and is an independent predictor of mortality, morbidity and institutionalisation after surgery. Despite this identification of frailty as a significant predictor of adverse postoperative outcome, there is not yet a consensus on the definition of frailty or how best to assess and diagnose it. This review describes our current definitions of frailty and discusses the available methods of assessing frailty, the impact on the older surgical population and the emerging potential for modification of this important syndrome.
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