Frailty and Prognostication in Geriatric Surgery and Trauma
AUTHORS
Maxwell
CA ,
Patel
MB ,
Suarez-Rodriguez
LC ,
Miller
RS ,
. Clinics in geriatric medicine. 2018 10 3; 35(1). 13-26
- PMID: 30390979 [PubMed].
ABSTRACT
Frailty is a predominant predictor of poor outcomes in older populations. This article presents a review of the concept of frailty and its role for prognostication among geriatric trauma and surgery patients. We discuss models of frailty defined in the scientific literature, emphasizing that frailty is a process of biologic aging. We emphasize the importance of screening, assessment, and inclusion of frailty indices for the development and use of prognostication instruments/tools in the population of interest. Finally, we discuss best practices for the delivery of prognostic information in acute care settings and specific recommendations for trauma and surgical care settings.
Tags: Alumni Publications 2018