![]() ![]() 4 A comprehensive geriatric assessment (CGA) was performed before surgery. Korean researchers enrolled 275 consecutive elderly patients (aged ≥65 years) who were undergoing intermediate-risk or high-risk elective operations. Other researchers, using a variety of frailty scales, have found that increasing frailty correlates with poorer outcomes after surgery. The frailty phenotype was predictive of falls, worsening mobility or disability. The question is asked, “How often in the last week did you feel this way?” The patient’s response is rated as follows: 0 = rarely or none of the time (65 patient population was 6.9%. The patient is read the following two statements: (1) I felt that everything I did was an effort (2) I could not get going.The patient is asked the question, “In the last year, have you lost more than 10 lb unintentionally (i.e., not as a result of dieting or exercise)?” Patients answering “Yes” are categorized as frail by the weight loss criterion. She studied 5317 men and women 65 years of age or older, and tabulated their answers to questions regarding these five criteria of the Fried Frailty Index: 1,3 Linda Fried developed one of the first frailty indexes in 2001. ![]() ![]() Medical researchers began to seek a quantitative metric for frailty, and they proposed frailty evaluation tools.ĭr. In the past a physician’s assessment of a patient’s frailty was an “eyeball” judgment, dependent on how robust versus how frail a patient looked, and dependent on an interpretation of the patient’s active medical problems. More than half of all operations in the United States are performed on patients of ages ≥65 years, and this proportion will continue to increase. The geriatric population is increasing in size, and the number of elderly patients undergoing surgery is increasing as well. Metrics of frailty exist, and the evaluation of a patient’s frailty index will become an important part of geriatric anesthesia care. My training was in both internal medicine and anesthesiology, and the intersection of these two fields is geriatric anesthesia. The majority of frail patients are elderly. Webster’s Dictionary defines frailty as “the condition of being weak and delicate.” Frailty is also a medical term with an accepted definition of “a multisystem loss of physiologic reserve that makes a person more vulnerable to disability during and after stress.” 1 Is your grandfather too frail for surgery? There are iPad apps to help you answer the question regarding frailty and anesthesia. SO YOU WANT TO BE AN ANESTHESIOLOGIST? TEN TRAITS OF ANESTHESIOLOGISTS.HOW DOES EXECUTION BY NITROGEN GAS WORK?.14 DIFFERENCES BETWEEN EXPERIENCED AND INEXPERIENCED ANESTHESIOLOGISTS. ![]()
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