Perioperative assessment and management of frailty in cardiac surgery patients
RAN Juhong
YANG Pingliang
PENG Yonggang
Abstract：Frailty is a multidimensional syndrome characterized by decreased functional reserves and increased vulnerability to stress,which increases the perioperative risks and leads to adverse outcomes.Frailty is highly prevalent among patients who are undergoing cardiac surgery,which has increased the risk of postoperative complications and has placed a great burden on the healthcare system.It is recommended to use a simple validated scale to screen for frailty and then perform a more detailed assessment of the specific deficit or a comprehensive geriatric assessment for positive patients.These assessments can help to determine the frailty domains and their components with the degree of severity,make a tailored clinical judgement and therapeutic strategies,and optimize the clinical outcomes.There are two basic concepts of frailty(the phenotype model and the cumulative deficit model),which have been well-established to recognize the syndrome.Different assessment approaches have been proposed and validated to evaluate frailty.This review has highlighted the research progress of the definition of frailty,the pathophysiological mechanisms,assessment methods,and perioperative interventions to provide perioperative strategies to mitigate risk for frail patients undergoing cardiac surgery.
Keywords：frailtyassessmentperioperative managementcardiac surgery
Publication Date：2024-02-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1-6 )