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


1 Department of Anesthesia, Critical Care, and Pain Medicine, Lewis Katz School of Medicine at Temple University, 3500 North Broad St., Philadelphia, Pennsylvania; Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States
2 Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States
3 Department of Anesthesia, Narayana Institute of Cardiac Sciences, Narayana Hrudayalaya Health City, Bengaluru, Karnataka, India

Correspondence Address:
Balachundhar Subramaniam
Associate Professor of Anesthesia, Harvard Medical School, Ellison “Jeep” Pierce Endowed Chair of Anesthesia, Director, Centre for Anesthesia Research Excellence (CARE), Beth Israel Deaconess Medical Center, One Deaconess Road, CC-650, Boston, MA 02215
United States
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_90_20

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Year : 2021  |  Volume : 24  |  Issue : 2  |  Page : 133-139

 

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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.






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1 Department of Anesthesia, Critical Care, and Pain Medicine, Lewis Katz School of Medicine at Temple University, 3500 North Broad St., Philadelphia, Pennsylvania; Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States
2 Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, United States
3 Department of Anesthesia, Narayana Institute of Cardiac Sciences, Narayana Hrudayalaya Health City, Bengaluru, Karnataka, India

Correspondence Address:
Balachundhar Subramaniam
Associate Professor of Anesthesia, Harvard Medical School, Ellison “Jeep” Pierce Endowed Chair of Anesthesia, Director, Centre for Anesthesia Research Excellence (CARE), Beth Israel Deaconess Medical Center, One Deaconess Road, CC-650, Boston, MA 02215
United States
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_90_20

Rights and Permissions

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.






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