Abstract
Frailty, a clinical syndrome associated with loss of metabolic reserves, is prevalent among patients who present to vascular surgery clinics for evaluation. The Clinical Frailty Scale (CFS) is a rapid assessment method shown to be highly specific for identifying frail patients. In this study, we sought to evaluate whether the preoperative CFS score could be used to predict loss of independence after major vascular procedures. We identified all patients living independently at home who were prospectively assessed using the CFS before undergoing an elective major vascular surgery procedure (admitted for >24 hours) at an academic medical center between December 2015 and December 2017. Patient- and procedure-level clinical data were obtained from our institutional Vascular Quality Initiative registry database. The composite outcome of discharge to a nonhome location or 30-day mortality was evaluated using bivariate and multivariate regression models. A total of 134 independent patients were assessed using the CFS before they underwent elective open abdominal aortic aneurysm repair (8%), endovascular aneurysm repair (26%), thoracic endovascular aortic repair (6%), suprainguinal bypass (6%), infrainguinal bypass (16%), carotid endart...Continue Reading
Citations
Aug 14, 2019·Journal of Neurotrauma·Dan BanaszekJohn T Street
Oct 31, 2019·Clinical Transplantation·Samuel DeMariaSang Kim
Apr 3, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Han Ting WangPaul Hebert
May 10, 2020·Anesthesia and Analgesia·Lolita S NidadavoluEsther S Oh
Apr 4, 2020·Anesthesiology·Sylvie D AucoinDaniel I McIsaac
Jan 2, 2020·World Journal of Emergency Surgery : WJES·Hwee Leong TanTing Hway Wong
Jul 18, 2020·Annals of Surgery·John S M HoughtonRob D Sayers
Oct 28, 2019·Annals of Surgery·John S M HoughtonRob D Sayers
Jan 2, 2021·Journal of the American College of Surgeons·Oluwafemi P OwodunniSusan L Gearhart
Sep 8, 2020·Critical Care Clinics·Rohan SanjanwalaRakesh C Arora
Dec 20, 2020·Annals of Vascular Surgery·Amrita SarkarKhanjan H Nagarsheth
Jun 2, 2020·Annals of Vascular Surgery·Nicola IelapiRaffaele Serra
Oct 27, 2020·The American Surgeon·Sohail SarehPeyman Benharash
Dec 31, 2020·Anesthesiology·Sylvie D AucoinDaniel I McIsaac
Aug 3, 2020·The Journal of Surgical Research·Teryn A HolemanBenjamin S Brooke
Jan 15, 2020·Annals of Vascular Surgery·Kara A RothenbergShipra Arya
Apr 26, 2021·Annals of Vascular Surgery·Madeline M DeAngeloBenjamin S Brooke
Jul 1, 2020·Annals of Vascular Surgery·Ellen A GilbertsonBenjamin S Brooke
Dec 29, 2018·Journal of Vascular Surgery·Laura M DrudiJonathan Afilalo
Aug 9, 2021·American Journal of Surgery·Nicole IlonzoAgeliki Vouyouka
Aug 25, 2021·Gefässchirurgie : Zeitschrift für vaskuläre und endovaskuläre Chirurgie : Organ der Deutschen und der Österreichischen Gesellschaft für Gefässchirurgie unter Mitarbeit der Schweizerischen Gesellschaft für Gefässchirurgie·Björn MaassenLeo Cornelius Bollheimer
Mar 10, 2019·Journal of Vascular Surgery·Amir A GhaffarianBenjamin S Brooke
Apr 30, 2021·International Angiology : a Journal of the International Union of Angiology·Laia Sánchez-GarciaJose R Escudero
Oct 13, 2021·Stroke; a Journal of Cerebral Circulation·Michiel H F PoorthuisGert J de Borst