Open AccessImpact of frailty in cardiac surgical patients—Assessment, burden, and recommendations
Author(s) -
Akshay Shanker,
Preeti Upadhyay,
Valluvan Rangasamy,
Muralidhar Kanchi,
Balachundhar Subramaniam
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_90_20
Subject(s) - medicine , perioperative , context (archaeology) , intensive care medicine , adverse effect , medline , risk assessment , narrative review , disadvantaged , surgery , paleontology , computer security , political science , computer science , law , biology
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.