Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-55f67697df-xlmdk Total loading time: 0 Render date: 2025-05-08T14:26:07.500Z Has data issue: false hasContentIssue false

8 - Frailty and Functional Assessment

from Section 2 - General Health and Illness

Published online by Cambridge University Press:  06 January 2018

By
Dae Hyun Kim
Edited by
Sheila Ryan Barnett  and
Sara E. Neves
Sheila Ryan Barnett
Affiliation:
Harvard University Medical School, Massachusetts
Sara E. Neves
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
Get access
Type
Chapter
Information
Perioperative Care of the Elderly Patient , pp. 83 - 98
Publisher: Cambridge University Press
Print publication year: 2018

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Book purchase

Temporarily unavailable

References

Clegg, A, Young, J, Iliffe, S, Rikkert, MO, Rockwood, K. Frailty in elderly people. Lancet. 2013; 381(9868):752–762.CrossRefGoogle ScholarPubMed
Makary, MA, Segev, DL, Pronovost, PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010; 210(6):901–908.CrossRefGoogle ScholarPubMed
Kristjansson, SR, Nesbakken, A, Jordhoy, MS, et al. Comprehensive geriatric assessment can predict complications in elderly patients after elective surgery for colorectal cancer: a prospective observational cohort study. Crit Rev Oncol Hematol. 2010; 76(3):208–217.CrossRefGoogle ScholarPubMed
Green, P, Woglom, AE, Genereux, P, et al. The impact of frailty status on survival after transcatheter aortic valve replacement in older adults with severe aortic stenosis: a single-center experience. JACC Cardiovasc Interv. 2012; 5(9):974–981.CrossRefGoogle ScholarPubMed
Schoenenberger, AW, Stortecky, S, Neumann, S, et al. Predictors of functional decline in elderly patients undergoing transcatheter aortic valve implantation. Eur Heart J. 2013; 34(9):684–692.CrossRefGoogle ScholarPubMed
Kim, CA, Rasania, SP, Afilalo, J, et al. Functional status and quality of life after transcatheter aortic valve replacement: a systematic review. Ann Intern Med. 2014; 160(4):243–254.CrossRefGoogle ScholarPubMed
Kim, SW, Han, HS, Jung, HW, et al. Multidimensional frailty score for the prediction of postoperative mortality risk. JAMA Surg. 2014; 149(7):633–640.CrossRefGoogle ScholarPubMed
Gill, TM, Gahbauer, EA, Allore, HG, Han, L. Transitions between frailty states among community-living older persons. Arch Intern Med. 2006; 166(4):418–423.CrossRefGoogle ScholarPubMed
Ellis, G, Whitehead, MA, Robinson, D, O'Neill, D, Langhorne, P. Comprehensive geriatric assessment for older adults admitted to hospital: meta-analysis of randomised controlled trials. BMJ. 2011; 343:d6553.CrossRefGoogle ScholarPubMed
Beswick, AD, Rees, K, Dieppe, P, et al. Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet. 2008; 371(9614):725–735.CrossRefGoogle ScholarPubMed
Stuck, AE, Egger, M, Hammer, A, Minder, CE, Beck, JC. Home visits to prevent nursing home admission and functional decline in elderly people: systematic review and meta-regression analysis. JAMA. 2002; 287(8):1022–1028.CrossRefGoogle ScholarPubMed
de Vries, NM, van Ravensberg, CD, Hobbelen, JS, et al. Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis. Ageing Res Rev. 2012; 11(1):136–149.CrossRefGoogle ScholarPubMed
Forster, A, Lambley, R, Hardy, J, et al. Rehabilitation for older people in long-term care. Cochrane Database Syst Rev. 2009(1):CD004294.Google ScholarPubMed
Rockwood, K, Mitnitski, A. Frailty in relation to the accumulation of deficits. J Gerontol A Biol Sci Med Sci. 2007; 62(7):722–727.CrossRefGoogle Scholar
Fried, LP, Tangen, CM, Walston, J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3):M146–M156.CrossRefGoogle ScholarPubMed
Morley, JE, Vellas, B, van Kan, GA, et al. Frailty consensus: a call to action. J Am Med Dir Assoc. 2013; 14(6):392–397.CrossRefGoogle ScholarPubMed
Rockwood, K, Andrew, M, Mitnitski, A. A comparison of two approaches to measuring frailty in elderly people. J Gerontol A Biol Sci Med Sci. 2007; 62(7):738–743.CrossRefGoogle ScholarPubMed
Woo, J, Leung, J, Morley, JE. Comparison of frailty indicators based on clinical phenotype and the multiple deficit approach in predicting mortality and physical limitation. J Am Geriatr Soc. 2012; 60(8):1478–1486.CrossRefGoogle ScholarPubMed
Ensrud, KE, Ewing, SK, Taylor, BC, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med. 2008; 168(4):382–389.CrossRefGoogle ScholarPubMed
Robinson, TN, Wu, DS, Sauaia, A, et al. Slower walking speed forecasts increased postoperative morbidity and 1-year mortality across surgical specialties. Ann Surg. 2013; 258(4):582–588; discussion 588–590.CrossRefGoogle ScholarPubMed
Beggs, T, Sepehri, A, Szwajcer, A, Tangri, N, Arora, RC. Frailty and perioperative outcomes: a narrative review. Can J Anaesth. 2015; 62(2):143–157.CrossRefGoogle ScholarPubMed
Sepehri, A, Beggs, T, Hassan, A, et al. The impact of frailty on outcomes after cardiac surgery: a systematic review. J Thorac Cardiovasc Surg. 2014; 148(6):3110–3117.CrossRefGoogle ScholarPubMed
Partridge, JS, Harari, D, Dhesi, JK. Frailty in the older surgical patient: a review. Age Ageing. 2012; 41(2):142–147.CrossRefGoogle ScholarPubMed
Hubbard, RE, Story, DA. Patient frailty: the elephant in the operating room. Anaesthesia. 2014; 69(Suppl 1):26–34.CrossRefGoogle ScholarPubMed
Podsiadlo, D, Richardson, S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991; 39(2):142–148.CrossRefGoogle ScholarPubMed
Afilalo, J, Eisenberg, MJ, Morin, JF, et al. Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery. J Am Coll Cardiol. 2010; 56(20):1668–1676.CrossRefGoogle Scholar
Afilalo, J, Mottillo, S, Eisenberg, MJ, et al. Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity. Circ Cardiovasc Qual Outcomes. 2012; 5(2):222–228.CrossRefGoogle ScholarPubMed
de Arenaza, DP, Pepper, J, Lees, B, et al. Preoperative 6-minute walk test adds prognostic information to Euroscore in patients undergoing aortic valve replacement. Heart 2010; 96(2):113–117.CrossRefGoogle ScholarPubMed
Mok, M, Nombela-Franco, L, Urena, M, et al. Prognostic value of exercise capacity as evaluated by the 6-minute walk test in patients undergoing transcatheter aortic valve implantation. J Am Coll Cardiol. 2013; 61(8):897–898.CrossRefGoogle ScholarPubMed
Puls, M, Sobisiak, B, Bleckmann, A, et al. Impact of frailty on short- and long-term morbidity and mortality after transcatheter aortic valve implantation: risk assessment by Katz Index of activities of daily living. EuroIntervention 2014; 10(5):609–619.CrossRefGoogle Scholar
Savva, GM, Donoghue, OA, Horgan, F, O'Regan, C, Cronin, H, Kenny, RA. Using timed up-and-go to identify frail members of the older population. J Gerontol A Biol Sci Med Sci. 2013; 68(4):441–446.CrossRefGoogle ScholarPubMed
Kristjansson, SR, Ronning, B, Hurria, A, et al. A comparison of two pre-operative frailty measures in older surgical cancer patients. J Geriatr Oncol. 2012; 3:1–7.CrossRefGoogle Scholar
Partridge, JS, Harari, D, Martin, FC, Dhesi, JK. The impact of pre-operative comprehensive geriatric assessment on postoperative outcomes in older patients undergoing scheduled surgery: a systematic review. Anaesthesia. 2014; 69(Suppl 1):8–16.CrossRefGoogle ScholarPubMed
Chow, WB, Rosenthal, RA, Merkow, RP, et al. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. J Am Coll Surg. 2012; 215(4):453–466.CrossRefGoogle Scholar
Luger, TJ, Kammerlander, C, Gosch, M, et al. Neuroaxial versus general anaesthesia in geriatric patients for hip fracture surgery: does it matter? Osteoporos Int. 2010; 21(Suppl 4):S555–572.CrossRefGoogle ScholarPubMed
Macfarlane, AJ, Prasad, GA, Chan, VW, Brull, R. Does regional anesthesia improve outcome after total knee arthroplasty? Clin Orthop Relat Res. 2009; 467(9):2379–2402.CrossRefGoogle ScholarPubMed
Bryson, GL, Wyand, A. Evidence-based clinical update: general anesthesia and the risk of delirium and postoperative cognitive dysfunction. Can J Anaesth. 2006; 53(7):669–677.CrossRefGoogle ScholarPubMed
Newman, S, Stygall, J, Hirani, S, Shaefi, S, Maze, M. Postoperative cognitive dysfunction after noncardiac surgery: a systematic review. Anesthesiology. 2007; 106(3):572–590.CrossRefGoogle ScholarPubMed
Radtke, FM, Franck, M, Lendner, J, et al. Monitoring depth of anaesthesia in a randomized trial decreases the rate of postoperative delirium but not postoperative cognitive dysfunction. Br J Anaesth. 2013; 110(Suppl 1):i98–i105.CrossRefGoogle Scholar
Chan, MT, Cheng, BC, Lee, TM, Gin, T, Group, CT. BIS-guided anesthesia decreases postoperative delirium and cognitive decline. J Neurosurg Anesth. 2013; 25(1):33–42.CrossRefGoogle ScholarPubMed
Sieber, FE, Zakriya, KJ, Gottschalk, A, et al. Sedation depth during spinal anesthesia and the development of postoperative delirium in elderly patients undergoing hip fracture repair. Mayo Clin Proc. 2010; 85(1):18–26.CrossRefGoogle ScholarPubMed
Nielsen, PR, Jorgensen, LD, Dahl, B, Pedersen, T, Tonnesen, H. Prehabilitation and early rehabilitation after spinal surgery: randomized clinical trial. Clin Rehabil. 2010; 24(2):137–148.CrossRefGoogle ScholarPubMed
Carli, F, Charlebois, P, Stein, B, et al. Randomized clinical trial of prehabilitation in colorectal surgery. Br J Surg. 2010; 97(8):1187–1197.CrossRefGoogle ScholarPubMed
Mayo, NE, Feldman, L, Scott, S, et al. Impact of preoperative change in physical function on postoperative recovery: argument supporting prehabilitation for colorectal surgery. Surgery. 2011; 150(3):505–514.CrossRefGoogle ScholarPubMed
Harari, D, Hopper, A, Dhesi, J, et al. Proactive care of older people undergoing surgery (‘POPS’): designing, embedding, evaluating and funding a comprehensive geriatric assessment service for older elective surgical patients. Age Ageing. 2007; 36(2):190–196.CrossRefGoogle Scholar
Chen, CC, Chen, CN, Lai, IR, et al. Effects of a modified Hospital Elder Life Program on frailty in individuals undergoing major elective abdominal surgery. J Am Geriatr Soc. 2014; 62(2):261–268.CrossRefGoogle ScholarPubMed
Richter, HE, Redden, DT, Duxbury, AS, et al. Pelvic floor surgery in the older woman: enhanced compared with usual preoperative assessment. Obstet Gynecol. 2005; 105(4):800–807.CrossRefGoogle ScholarPubMed
Grigoryan, KV, Javedan, H, Rudolph, JL. Orthogeriatric care models and outcomes in hip fracture patients: a systematic review and meta-analysis. J Orthop Trauma. 2014; 28(3):e49–e55.CrossRefGoogle ScholarPubMed
Inouye, SK, Bogardus, ST Jr., Charpentier, PA, et al. A multicomponent intervention to prevent delirium in hospitalized older patients. N Engl J Med. 1999; 340(9):669–676.CrossRefGoogle ScholarPubMed
Inouye, SK, Bogardus, ST Jr., Baker, DI, Leo-Summers, L, Cooney, LM Jr. The Hospital Elder Life Program: a model of care to prevent cognitive and functional decline in older hospitalized patients. Hospital Elder Life Program. J Am Geriatr Soc. 2000; 48(12):1697–1706.Google Scholar
Gillespie, LD. Preventing falls in older people: the story of a Cochrane review. Cochrane Database Syst Rev. 2013(2):ED000053.Google Scholar
Ewe, SH, Ajmone Marsan, N, Pepi, M, et al. Impact of left ventricular systolic function on clinical and echocardiographic outcomes following transcatheter aortic valve implantation for severe aortic stenosis. Am Heart J. 2010; 160(6):1113–1120.CrossRefGoogle ScholarPubMed
Dasgupta, M, Rolfson, DB, Stolee, P, Borrie, MJ, Speechley, M. Frailty is associated with postoperative complications in older adults with medical problems. Arch Gerontol Geriatr. 2009; 48(1):78–83.CrossRefGoogle ScholarPubMed
Robinson, TN, Wu, DS, Pointer, L, et al. Simple frailty score predicts postoperative complications across surgical specialties. Am J Surg. 2013; 206(4):544–550.CrossRefGoogle ScholarPubMed
Ellis, G, Spiers, M, Coutts, S, Fairburn, P, McCracken, L. Preoperative assessment in the elderly: evaluation of a new clinical service. Scott Med J. 2012; 57(4):212–216.CrossRefGoogle ScholarPubMed
Li, C, Carli, F, Lee, L, et al. Impact of a trimodal prehabilitation program on functional recovery after colorectal cancer surgery: a pilot study. Surg Endos. 2013; 27(4):1072–1082.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×