Recommendations for Preoperative Management of Frailty from the Society for Perioperative Assessment and Quality Improvement (SPAQI).

Recommendations for Preoperative Management of Frailty fromthe Society for Perioperative Assessment and Quality Improvement (SPAQI).
J Clin Anesth. 2018 June 15;47:33-42. doi: 10.1016/j.jclinane.2018.02.011.

• Practical steps for clinicians to assess and address frailty in elderly patients who require elective intermediate or high risk surgery. The recommendations summarise evidence-based principles of measuring and screening for frailty, as well as basic interventions that can help improve patient outcomes.

Hospital Frailty Risk Score focusing on older people in acute care settings

Development and validation of a Hospital Frailty Risk Score focusing on older people in acute care settings using electronic hospital records: an observational study.
Lancet. 2018 May 5;391(10132):1775-1782.

• A Hospital Frailty Risk Score for older people in acute care, based on routinely collected data, was found to be a low-cost systematic way of screening for frailty. Patients with the highest scores had increased odds of 30-day mortality, long hospital stay, and 30-day readmission.

Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients.

Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients.
Am J Surg. 2018 Apr 18. pii: DOI: https://doi.org/10.1016/j.amjsurg.2018.04.006

• A review of studies of risk assessment tools in elderly surgical patients suggests that NSQIP-PMP, mFI and SURPAS are promising tools.

Abstract