Decision making in the frail vascular surgery patient: A scoping review

• Published in: Seminars in vascular surgery Vol. 37; no. 2; pp. 224 - 239
• Main Authors: Fereydooni, Arash, Johnson, Cali E., Brooke, Benjamin S., Arya, Shipra
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-06-2024
• Subjects: Age Factors; Aged; Aged, 80 and over; Clinical Decision-Making; Decision making; Decision Support Techniques; Female; Frail Elderly; Frailty; Frailty - complications; Frailty - diagnosis; Geriatric Assessment; Humans; Male; Patient Selection; Predictive Value of Tests; Risk Assessment; Risk Assessment Index; Risk Factors; Treatment Outcome; Vascular Diseases - diagnosis; Vascular Diseases - physiopathology; Vascular Diseases - surgery; Vascular surgery; Vascular Surgical Procedures - adverse effects; Frailty; Vascular surgery; Risk Assessment Index; Decision making; Risk assessment
• ISSN: 0895-7967; 1558-4518; 1558-4518
• DOI: 10.1053/j.semvascsurg.2024.04.003

Increasing evidence highlights the adverse impact of frailty and reduced physiologic reserve on surgical outcomes. Therefore, identification of frailty is essential for older adults being evaluated for vascular surgery procedures. Numerous frailty assessment tools are available to quantify the level of frailty and assist in preoperative decision making for these older patients. This review evaluates traditional and novel frailty metrics for their scientific validation, limitations, and clinical utility in vascular surgery decision-making.