Tailored Perioperative Medicine For Frail Patients Undergoing Vascular Surgery: A Narrative Review

Authors

  • Bernardo Miguel Department of Anesthesiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Portugal https://orcid.org/0000-0002-4362-2614
  • Sarah Oliveira Department of Anesthesiology, Unidade Local de Saúde de Santa Maria, Portugal https://orcid.org/0000-0003-2714-8294
  • João Valente Jorge Department of Anesthesiology, Unidade Local de Saúde de Santa Maria, Portugal https://orcid.org/0000-0001-8494-4727
  • Patrícia Conde Department of Anesthesiology, Unidade Local de Saúde de Santa Maria, Portugal
  • Ângela Alves Department of Anesthesiology, Unidade Local de Saúde de Santa Maria, Portugal

DOI:

https://doi.org/10.48729/pjctvs.442

Keywords:

Frailty, Perioperative Care, Vascular Surgery, Geriatric Anesthesia, Prehabilitation

Abstract

Frailty is a concept that is emerging as an important tool in the preoperative assessment of patients. The incidence of frailty in vascular surgery patients is high and is expected to increase concomitantly with the aging of the population. The identification of these patients and their optimization in the perioperative period can lead to an improvement in their outcomes with a reduction in morbidity and mortality. In this narrative review we address the concept of frailty applied to vascular surgery patients as well as assessment tools for its evaluation. This review focus not only on the most utilized evaluation tools but also on the most recent and specific frailty evaluation instruments that are suitable for vascular surgery patients. Furthermore, we review patient optimization strategies to improve perioperative outcomes.

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References

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Published

12-10-2024

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1.
Miguel B, Oliveira S, Valente Jorge J, Conde P, Alves Ângela. Tailored Perioperative Medicine For Frail Patients Undergoing Vascular Surgery: A Narrative Review. Rev Port Cir Cardiotorac Vasc [Internet]. 2024 Oct. 12 [cited 2024 Nov. 20];31(3):65-72. Available from: https://pjctvs.com/index.php/journal/article/view/442

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