Are the frail destined to fail? Frailty index as predictor of surgical morbidity and mortality in the elderly

Journal of Trauma and Acute Care Surgery

Volumn 72, Issue 6, 2012, Pages 1526-1531

  Farhat, Joseph S ^a   Velanovich, Vic ^b   Falvo, Anthony J ^a   Horst, H Mathilda ^a   Swartz, Andrew ^a   Patton, Joe H ^a   Rubinfeld, Ilan S ^a,c  

^a HENRY FORD HOSPITAL   (United States)

^b UNIVERSITY OF SOUTH FLORIDA   (United States)

^c HENRY FORD HEALTH SYSTEM   (United States)

Author keywords

Frailty; Geriatric; Outcomes; Surgery

Indexed keywords

ADULT; APPENDECTOMY; ARTICLE; CANADIAN STUDY OF HEALTH AND AGING FRAILTY INDEX; CHOLECYSTECTOMY; CLINICAL ASSESSMENT TOOL; COLON RESECTION; EMERGENCY SURGERY; FEMALE; FRAIL ELDERLY; HERNIOPLASTY; HUMAN; LAPAROTOMY; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; PRIORITY JOURNAL; SURGEON; SURGICAL INFECTION; SURGICAL PATIENT; TREATMENT OUTCOME; WOUND INFECTION;

EID: 84864564081     PISSN: 21630755     EISSN: 21630763     Source Type: Journal    
DOI: 10.1097/TA.0b013e3182542fab     Document Type: Article

References (19)

1. Administration on Aging. 2010 Census data on aging [AOA census data website]. July 1, 2011. Available at: http://www.aoa.gov/aoaroot/aging- statistics/Census-Population/census2010/Index.aspx. Accessed August 11, 2011.
2. U.S. Census Bureau. Projections of the population by selected age groups and sex for the United States: 2010 to 2050 [U.S. census bureau population projectionwebsite]. August 14, 2008. Available at: http://www.census.gov/ population/www/projections/summarytables.html. Accessed August 11, 2011.
3. Falvo A, Horst HM, Blyden D, et al. Emergency surgery in the elderly: is age a dose-dependent variable, or just associated with comorbidities? Presented at Clinical Congress of American College of Surgeons, Washington, DC, October 2010.
4. Kulminski AM, Ukraintseva SV, Kulminskaya IV, et al. Cumulative deficits better characterize susceptibility to death in elderly people than phenotypic frailty: lessons from the cardiovascular health study. JAmGeriatr Soc. 2008; 56:898-903.
5. Bergman H, Ferrucci L, Guralnik J, et al. Frailty: an emerging research and clinical paradigm-issues and controversies. J Gerontol A Biol Sci Med Sci. 2007;62:731-737.
6. Abellan van Kan G, Rolland Y, Houles M, et al. The assessment of frailty in older adults. Clin Geriatr Med. 2010;26:275-286.
7. Fried LP, Tangen CM, Walston J, et al; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56:M146-M156.
8. Rockwood K, Song X, MacKnight C, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173:489-495.
9. García-González JJ, García-Peña C, Franco-Marina F, et al. A frailty index to predict the mortality risk in a population of senior Mexican adults. BMC Geriatr. 2009;9:47-54.
10. Kiely DK, Cupples LA, Lipsitz LA. Validation and comparison of two frailty indexes: The MOBILIZE Boston Study. J Am Geriatr Soc. 2009; 57:1532-1539.
11. Jones DM, Song X, Rockwood K. Operationalizing a frailty index from a standardized comprehensive geriatric assessment. J Am Geriatr Soc. 2004;52:1929-1933.
12. Leung JM, Tsai TL, Sands LP. Brief report: preoperative frailty in older surgical patients is associated with early postoperative delirium. Anesth Analg. 2011;112:1199-1201.
13. Lee DH, Buth KJ, Martin BJ, Yip AM, Hirsch GM. Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery. Circulation. 2010;121:973-978.
14. Robinson TN, Wallace JI, Wu DS, et al. Accumulated frailty characteristics predict postoperative discharge institutionalization in the geriatric patient. J Am Coll Surg. 2011;213:37-44.
15. Makary MA, Segev DL, Pronovost PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010;210:901-908.
16. Robinson TN, Eiseman B, Wallace JI, et al. Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg. 2009; 250:449-455.
17. American College of Surgeons National Surgical Improvement Program. User guide for the 2009 participant use data file [ACS NSQIP website]. October 2010. Available at: http://www.acsnsqip.org/main/puf/documents/pdfs/ACS-NSQIP- Participant-User-Data-File-User-Guide.pdf. Accessed August 14, 2011.
18. Searle SD, Mitnitski A, Gahbauer EA, Gill TM, Rockwood K. A standard procedure for creating a frailty index. BMC Geriatr. 2008;30:24-33.
19. Rubinfeld I, Thomas C, Berry S, et al. Octogenarian abdominal surgical emergencies: not so grim a problem with the acute care surgery model? J Trauma. 2009;67:983-989.