Anziano e chirurgia: impatto della fragilità sugli outcome chirurgici. Una revisione della letteratura

Translated title of the contribution: Elderly and surgery: impact of frailty on surgical outcome. A literature review

Silvia Ronchi, Roberto Accardi, Maura Lusignani

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: Currently more than 40% of surgical procedures are performed on subjects over65 years. this event has brought to the fore the concept of frailty. The aim of this work is to summarize the knowledge available in the literature in order to better understand what are the essential aspects of frailty, which impact it has on surgical outcomes of the elderly and what action we need to apply to prevent it. METHODS: A narrative literature review was conducted using the principal bibliographic biome- dical and nursing databases. RESULTS: Literature analysis revealed that frailty is a medical syndrome with multiple causes characterized by reduced physiological functions and decreased stress resistance, resulting in several adverse outcome following surgery. In the selected studies, frailty has emerged as a reliable indi- cator of increased morbidity and mortality, long-term hospital stay, post-discharge institutionali- zation, and increased healthcare costs. For frailty prevention and treatment, the most important clinical intervention is physical exercise. CONCLUSION: Identifying a patient like frail in the preoperative period allows the health profes- sional to adequately transmit information about individual perioperative risks. It should provide an opportunity to discuss the expectations and wishes of the patient for whom an adverse posto- perative outcome is expected. In addition, for high risk subjects, a clinical pathway with a well- structured discharge program can be anticipated in order to avoid hospital prolongations, thus reducing hospitalization costs.

Translated title of the contributionElderly and surgery: impact of frailty on surgical outcome. A literature review
Original languageItalian
Pages (from-to)100-110
Number of pages11
JournalProfessioni infermieristiche
Volume72
Issue number2
DOIs
Publication statusPublished - Apr 1 2019

ASJC Scopus subject areas

  • Medicine(all)

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