Con: Can We Influence Postoperative Outcomes of Frail Patients After Cardiac Surgery?

Ieva Jovaišiene; Dainius Trybė

doi:10.1053/j.jvca.2023.03.003

Con: Can We Influence Postoperative Outcomes of Frail Patients After Cardiac Surgery?

J Cardiothorac Vasc Anesth. 2023 Dec;37(12):2665-2667. doi: 10.1053/j.jvca.2023.03.003. Epub 2023 Mar 8.

Authors

Ieva Jovaišiene¹, Dainius Trybė²

Affiliations

¹ Department of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania. Electronic address: ieva.jovaisiene@santa.lt.
² Department of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.

PMID: 37030991
DOI: 10.1053/j.jvca.2023.03.003

Abstract

Frail patients are scheduled routinely for elective cardiovascular surgery. Despite the proven association between frailty and postoperative outcomes, currently, there is no consistent evidence that the preoperative optimization of frail patients with preoperative nutrition support and exercise programs can alter postoperative mortality. Established frailty diagnostic tools are not sufficient to grasp the multidimensional nature of frailty in cardiovascular patients. Prehabilitation programs and preoperative nutritional support are time- and resource-consuming and, therefore, are hard to implement in routine clinical practice.

Keywords: cardiac surgery; frailty; nutrition; patient-oriented outcomes; prehabilitation.

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MeSH terms

Aged
Cardiac Surgical Procedures* / adverse effects
Frail Elderly
Frailty* / diagnosis
Heart
Humans
Nutritional Support
Postoperative Complications / diagnosis
Postoperative Complications / prevention & control