Frailty and cardiac surgery: To operate or not?

Daniel A. Emmert, Mark J. Arcario, Bruno Maranhao, Andrea B. Reidy

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose of review With an aging cardiac surgery population, prefrail and frail patients are becoming more common. Anesthesiologists will be faced with the decision of how best to provide care to frail patients. Identification, management, and outcomes in frail patients will be discussed in this review. Recent findings Frailty is associated with a variety of poor outcomes, such as increased hospital length of stay, medical resource utilization, readmission rates, and mortality. Prehabilitation may play a greater role in the management of frail cardiac surgery patients. Summary As frailty will likely only increase amongst cardiac surgery patients, it is important to develop multicenter trials to study management and treatment options. Until those studies are performed, the care of frail cardiac surgery patients may be best provided by high-volume surgical centers with expertise in the management of frail patients.

Original languageEnglish
Pages (from-to)53-59
Number of pages7
JournalCurrent Opinion in Anaesthesiology
Volume35
Issue number1
DOIs
StatePublished - Feb 1 2022

Keywords

  • Cardiac surgery
  • Frailty
  • Outcomes
  • Prehabilitation

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