ReviewDeutsches Arzteblatt international2019
Determinants of Perioperative Outcome in Frail Older Patients.
Review in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed.
- Frailty in anesthesia.Current opinion in anaesthesiology · 2026Review
- [Risk assessment in geriatric traumatology : Crucial role of anesthesiology].Zeitschrift fur Gerontologie und Geriatrie · 2024Review
- Review
- [Special features of the perioperative course in patients with frailty syndrome].Die Anaesthesiologie · 2023Article
- Old Age and Frailty in Deceased Organ Transplantation and Allocation-A Plea for Geriatric Assessment and Prehabilitation.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Frailty in elderly patients with acute appendicitis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- [Palliative care for patients over 80 years old with COVID‑19 pneumonia on the intensive care unit-Is invasive ventilation effective?]Wiener medizinische Wochenschrift (1946) · 2022Article
- Frailty index is useful for predicting postoperative morbidity in older patients undergoing gastrointestinal surgery: a prospective cohort study.BMC surgery · 2022Article
- [Clinical importance of the detection of frailty].Zeitschrift fur Gerontologie und Geriatrie · 2021Article
- Age-Dependent Patient and Trauma Characteristics and Hospital Resource Requirements-Can Improvement Be Made? An Analysis from the German Trauma Registry.Medicina (Kaunas, Lithuania) · 2021Article
- Economic impact of enhanced recovery after surgery protocol in minimally invasive cardiac surgery.BMC health services research · 2021Article
- [Anesthesiological implications of minimally invasive valve interventions : Transcatheter aortic valve implantation, clip reconstruction on the mitral and tricuspid valve].Der Anaesthesist · 2021Review
- [Innovative geriatric concepts for vascular medicine and vascular surgery].Gefasschirurgie : Zeitschrift fur vaskulare und endovaskulare Chirurgie : Organ der Deutschen und der Osterreichischen Gesellschaft fur Gefasschirurgie unter Mitarbeit der Schweizerischen Gesellschaft fur Gefasschirurgie · 2021Review
- [Impact of psychiatric disorders on the outcome of acute geriatric inpatient treatment: an exploratory investigation].Zeitschrift fur Gerontologie und Geriatrie · 2020Article
- Frailty as a Prognostic Indicator in Intensive Care.Deutsches Arzteblatt international · 2020Article
- [Management of geriatric patients with benign prostatic hyperplasia].Der Urologe. Ausg. A · 2020Review
- [Frailty as potential indicator of perioperative risk for older patients].Der Anaesthesist · 2020Review
- [Missing frailty-missing the point.]Der Anaesthesist · 2020Article
- [Perioperative management of polymedication in geriatric patients: risk reduction and coordination with the family practitioner].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020Review
- [Preoperative cognitive function in very old patients : Influence on the complication rate and length of hospitalization].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder patients are undergoing surgery in increasing numbers. Frailty is a key risk factor associated with higher rates of complications and mortality, longer hospital stays, and functional impairment.
methodsThis review is based on pertinent publications retrieved by a selective search in PubMed, including guidelines from Germany and abroad.
resultsMany studies have been published on the assessment of frailty and its consequences, but the scientific investigation of this topic and the clinical utility of the findings are made more difficult by the lack of a uniform definition and of uniform instruments for assessment. Some definitions of frailty include only physical aspects, while others encompass cognitive, emotional, and social factors as well. Despite this variability, the assessment of frailty enables better estimation of the perioperative risk so that the patient can be optimally prepared for the operation. Especially for frail elderly patients, an interdisciplinary approach is called for over the entire perioperative treatment period.
conclusionIn the future, the definition of frailty will need to be standardized so that this parameter can be properly assessed and investigated in comparative studies.
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