Tags

Type your tag names separated by a space and hit enter

Preoperative Evaluation of the Frail Patient.
Anesth Analg. 2020 06; 130(6):1493-1503.A&A

Abstract

Perioperative management of older adults is a complex field that is heavily influenced by the clinical heterogeneity of older adults. Frailty-a geriatric syndrome in which a patient is more vulnerable to stressors due to decreases in physical function and reserve-has been indicative of adverse postoperative outcomes. Many tools have been developed to measure frailty that incorporate a variety of factors including physical and cognitive function, comorbidities, self-reported measures of health, and clinical judgment. Most of these frailty assessment tools are able to identify a subset of patients at risk of adverse outcomes including postoperative complications, longer hospital length of stay, discharge to a higher level of care, and mortality. Frailty assessment before surgical interventions can also guide discussions among patients, their families, anesthesiologists, and surgeons to tailor operative plans for patients to mitigate this increased risk. Studies are ongoing to identify interventions in frail patients that can improve postoperative outcomes, but high-quality data in the form of randomized controlled trials are lacking at this time.

Authors+Show Affiliations

From the Departments of Medicine.From the Departments of Medicine.Anesthesiology and Critical Care Medicine.From the Departments of Medicine. Psychiatry and Behavioral Sciences. Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland. Johns Hopkins University School of Nursing, Baltimore, Maryland.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Review

Language

eng

PubMed ID

32384339

Citation

Nidadavolu, Lolita S., et al. "Preoperative Evaluation of the Frail Patient." Anesthesia and Analgesia, vol. 130, no. 6, 2020, pp. 1493-1503.
Nidadavolu LS, Ehrlich AL, Sieber FE, et al. Preoperative Evaluation of the Frail Patient. Anesth Analg. 2020;130(6):1493-1503.
Nidadavolu, L. S., Ehrlich, A. L., Sieber, F. E., & Oh, E. S. (2020). Preoperative Evaluation of the Frail Patient. Anesthesia and Analgesia, 130(6), 1493-1503. https://doi.org/10.1213/ANE.0000000000004735
Nidadavolu LS, et al. Preoperative Evaluation of the Frail Patient. Anesth Analg. 2020;130(6):1493-1503. PubMed PMID: 32384339.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative Evaluation of the Frail Patient. AU - Nidadavolu,Lolita S, AU - Ehrlich,April L, AU - Sieber,Frederick E, AU - Oh,Esther S, PY - 2020/5/9/entrez PY - 2020/5/10/pubmed PY - 2020/7/1/medline SP - 1493 EP - 1503 JF - Anesthesia and analgesia JO - Anesth Analg VL - 130 IS - 6 N2 - Perioperative management of older adults is a complex field that is heavily influenced by the clinical heterogeneity of older adults. Frailty-a geriatric syndrome in which a patient is more vulnerable to stressors due to decreases in physical function and reserve-has been indicative of adverse postoperative outcomes. Many tools have been developed to measure frailty that incorporate a variety of factors including physical and cognitive function, comorbidities, self-reported measures of health, and clinical judgment. Most of these frailty assessment tools are able to identify a subset of patients at risk of adverse outcomes including postoperative complications, longer hospital length of stay, discharge to a higher level of care, and mortality. Frailty assessment before surgical interventions can also guide discussions among patients, their families, anesthesiologists, and surgeons to tailor operative plans for patients to mitigate this increased risk. Studies are ongoing to identify interventions in frail patients that can improve postoperative outcomes, but high-quality data in the form of randomized controlled trials are lacking at this time. SN - 1526-7598 UR - https://www.unboundmedicine.com/medline/citation/32384339/Preoperative_Evaluation_of_the_Frail_Patient_ L2 - https://doi.org/10.1213/ANE.0000000000004735 DB - PRIME DP - Unbound Medicine ER -