4.5 Review

A systematic review of frailty assessment tools used in vascular surgery research

Related references

Note: Only part of the references are listed.
Article Surgery

The Geriatric Nutritional Risk Index predicts amputation after infrapopliteal angioplasty in critical limb ischemia patients

Chanean Ruangsetakit et al.

Summary: The aim of this study was to validate the Critical Limb Ischemia Frailty Index (CLIFI) as a predictor of 2-year amputation-free survival after infrapopliteal endovascular treatment for chronic limb-threatening ischemia (CLTI) in Thai patients. The results showed that the Geriatric Nutritional Risk Index (GNRI) was an independent risk factor for amputation within two years after revascularization, but the CLIFI did not significantly predict 2-year amputation in this patient population.

ASIAN JOURNAL OF SURGERY (2023)

Article Peripheral Vascular Disease

Association of wound, ischemia, and foot infection clinical stage with frailty and malnutrition in chronic limb-threatening ischemia patients undergoing endovascular intervention

Hideaki Otsuji et al.

Summary: This study aimed to investigate clinical factors relevant to prognosis in CLTI patients, including WIfI clinical stage, frailty, and nutritional status. The study found that CLTI patients with higher WIfI clinical stage were more likely to be frail and malnourished, and were associated with poorer prognosis after endovascular intervention.

VASCULAR (2023)

Article Surgery

Frailty as a Predictor of Adverse Outcomes After Peripheral Vascular Surgery in Patients With End-Stage Renal Disease

Christina D. Schweitzer et al.

Summary: Frailty adds additional risk for adverse outcomes to patients with ESRD undergoing LEO, with 84.3% of frail patients experiencing adverse outcomes compared to only 39.6% of non-frail patients without ESRD.

AMERICAN SURGEON (2022)

Article Surgery

Frailty as a Predictor of Mortality for Fenestrated EVAR and Open Surgical Repair of Aortic Aneurysms Involving Visceral Vessels

John Gregory Modrall et al.

Summary: Frailty is associated with poor outcomes after surgery for suprarenal and thoracoabdominal aortic aneurysms. Increased frailty is significantly correlated with higher 30-day mortality for both FEVAR and OSR. FEVAR may offer improved 30-day outcomes for the frailest patients.

ANNALS OF VASCULAR SURGERY (2022)

Article Surgery

Modern Lower Extremity Bypass Outcomes by Anesthesia Type in the Veteran Population

Sally Boyd et al.

Summary: The use of neuraxial anesthesia (NA) in lower extremity bypass (LEB) surgery is associated with lower rates of postoperative complications, 30-day mortality, and hospital length-of-stay (LOS) compared to general anesthesia (GA). Patients undergoing LEB with NA are older and more frail, while those with GA have a higher need for intraoperative blood transfusion.

ANNALS OF VASCULAR SURGERY (2022)

Article Surgery

Outcome Analysis Using the Modified Frailty Index-5 in Patients With Complex Aortoiliac Disease

Leandro Nobrega et al.

Summary: The mFl-5 index may have a role in predicting long-term outcomes, namely MACE and all-cause mortality, in patients with extensive aortoiliac occlusive disease.

ANNALS OF VASCULAR SURGERY (2022)

Article Cardiac & Cardiovascular Systems

Impact of malnutrition and frailty on mortality and major amputation in patients with CLTI

Adham M. Karim et al.

Summary: This study aimed to investigate the prevalence of malnutrition and its association with chronic limb-threatening ischemia (CLTI) outcomes, as well as the differential impact of revascularization methods on these outcomes. The results showed that a significant portion of CLTI patients were malnourished or frail, which were associated with higher mortality and amputation rates. Both malnourished and frail patients demonstrated a mortality benefit with less invasive endovascular revascularization methods.

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS (2022)

Article Peripheral Vascular Disease

The modified frailty index-11 predicts medium-term outcomes after endovascular revascularisation for chronic limb threatening ischaemia in Asian patients

Shereen X. Y. Soon et al.

Summary: The study evaluated the utility of frailty index (mFI-11) in predicting outcomes for Asian CLTI patients after endovascular revascularization. High frailty was associated with increased 12-month mortality, 30-day complication rate, 30-day unplanned readmission, and worse ambulatory status at 6 and 12 months.

VASCULAR (2022)

Article Surgery

Impact of Frailty and Age on Clinical Outcomes in Patients Who Underwent Endovascular Therapy

Ken Nishikawa et al.

Summary: The study found that elderly patients with frailty had a higher rate of major adverse cardiovascular and limb events (MACLE) after receiving endovascular therapy for peripheral artery disease, while young patients without frailty had a lower rate. Frailty was independently associated with MACLE incidence, indicating it may serve as a predictor of patient prognosis.

JOURNAL OF ENDOVASCULAR THERAPY (2022)

Article Surgery

Using the risk analysis index to assess frailty in a veteran cohort undergoing endovascular aortic aneurysm repair

Wayne Tse et al.

Summary: Frailty score is associated with postoperative outcomes in veteran aneurysm patients who underwent nonemergent EVAR. Higher frailty score is associated with increased complications and mortality.

JOURNAL OF VASCULAR SURGERY (2022)

Article Multidisciplinary Sciences

Beyond the revised cardiac risk index: Validation of the hospital frailty risk score in non-cardiac surgery

Pishoy Gouda et al.

Summary: The Hospital Frailty Risk Score (HFRS), a frailty assessment tool using administrative data, has been found to be valuable in predicting adverse outcomes after non-cardiac surgery. This study demonstrates that intermediate and high HFRS scores are associated with increased risk of adverse outcomes, including death, myocardial infarction, and prolonged hospital stay.

PLOS ONE (2022)

Article Anesthesiology

Utility and reliability of the Clinical Frailty Scale in patients scheduled for major vascular surgery: a prospective, observational, multicentre observer-blinded study

Reema Ayyash et al.

Summary: This study evaluates the reliability of the Clinical Frailty Scale in assessing frailty in the surgical vascular population. The results show a moderate level of agreement between the Clinical Frailty Scale and the Edmonton Frailty Scale, as well as substantial agreement between consultants and pre-assessment nurses using the Clinical Frailty Scale. Therefore, the Clinical Frailty Scale is a useful tool for assessing frailty in the vascular surgical population.

PERIOPERATIVE MEDICINE (2022)

Article Cardiac & Cardiovascular Systems

The utility of geriatric nutritional risk index to predict outcomes in chronic limb-threatening ischemia

Jun Li et al.

Summary: This study assessed the geriatric nutritional risk index (GNRI) in patients with CLTI and found that lower GNRI was associated with increased risks of MALE, mortality, and major amputation, while showing a trend towards lower TVR and higher wound healing.

CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS (2022)

Article Surgery

Increased Frailty Associated with Higher Long-Term Mortality after Major Lower Extremity Amputation

Jade Cotton et al.

Summary: This study compared two frailty scoring systems in predicting short- and long-term mortality after lower extremity amputation. The results showed that frailty scoring can help identify patients with poorer preoperative status and higher risk of mortality. Assessing frailty status may be important in assisting clinical decision-making and providing risk-benefit counseling for patients and their families.

ANNALS OF VASCULAR SURGERY (2022)

Article Surgery

Impact of Frailty on Postoperative Outcomes in Patients Undergoing TransCarotid Artery Revascularization (TCAR)

Maryam Ali Khan et al.

Summary: The study aimed to use the modified frailty index (mFI-5) to predict outcomes in Transcarotid Revascularization (TCAR). It found that frail patients had a higher risk of in-hospital mortality, stroke, nonhome discharge, and extended length of stay. The use of mFI-5 prior to TCAR can help vascular surgeons, patients, and families make informed decisions and optimize perioperative care for frail patients.

ANNALS OF VASCULAR SURGERY (2022)

Article Surgery

Elevated Risk Analysis Index (RAI) Frailty Scores Are Independently Associated with Adverse Outcomes in Lower Extremity Surgical Revascularizations Similarly Across Genders

James M. Dittman et al.

Summary: The study aimed to evaluate the association of RAI-rev score ranges with outcomes following lower extremity surgical revascularization and verify its applicability across genders. The results showed that mortality, extended stay, and increased rehabilitation needs were associated with higher RAI-rev score ranges in a dose-dependent manner, and this association was similar across genders.

ANNALS OF VASCULAR SURGERY (2022)

Article Cardiac & Cardiovascular Systems

Subjective assessment underestimates surgical risk: On the potential benefits of cardiopulmonary exercise testing for open thoracoabdominal repair

Damian M. Bailey et al.

Summary: The subjective assessment of patient frailty in preoperative evaluation can underestimate surgical risk. Objective assessment of cardiorespiratory fitness through cardiopulmonary exercise testing provides a more accurate way to stratify surgical risk.

JOURNAL OF CARDIAC SURGERY (2022)

Article Oncology

The Clinical Frailty Scale as useful tool in patients with brain metastases

Johannes Kerschbaumer et al.

Summary: The study aimed to compare the reliability of the Clinical Frailty Scale (CFS) and Karnofsky Performance Score (KPS) in predicting overall survival (OS) in patients after surgical treatment of brain metastases (BM). The results showed that the CFS provided a more accurate prediction of expected OS, specifically at the 3-6 month follow-up after surgery.

JOURNAL OF NEURO-ONCOLOGY (2022)

Article Peripheral Vascular Disease

Trends in Mortality and Postoperative Complications Among Octogenarian Patients Undergoing Carotid Endarterectomy

Salim Habib et al.

JOURNAL OF VASCULAR SURGERY (2022)

Article Surgery

Women with thoracoabdominal aortic aneurysms have increased frailty and more complex aortic anatomy compared with men

Natasha I. Edman et al.

Summary: This study assessed the gender-related differences in clinical comorbidities, anatomic suitability, and frailty among an unselected cohort of patients with TAAA5. The study found that women with TAAA5 had higher metrics of frailty and anatomic risk that were not captured by comorbidity-based risk assessments, which could explain the lower intervention rates for women with TAAA5.

JOURNAL OF VASCULAR SURGERY (2022)

Article Peripheral Vascular Disease

Evaluating Predictors of Frailty in Patients Undergoing Elective Endovascular Aneurysm Repair

Naveen Balasundaram et al.

JOURNAL OF VASCULAR SURGERY (2022)

Article Peripheral Vascular Disease

Lack of Postoperative Follow-up After Bypass Is Associated With Race and Insurance and Is Highly Predictive of Improved Survival

Muhammad Saad Hafeez et al.

JOURNAL OF VASCULAR SURGERY (2022)

Article Peripheral Vascular Disease

Modified Frailty Index as an Indicator for Outcomes After Lower Extremity Open Revascularization

Naveen Balasundaram et al.

JOURNAL OF VASCULAR SURGERY (2022)

Article Peripheral Vascular Disease

Frailty and outcomes following revascularization of lower-extremity peripheral artery disease: Insights from the Vascular Quality Initiative (VQI)

Mohammed S. Al-Damluji et al.

Summary: There is significant variation in frailty detection using different screening tools in patients undergoing lower-extremity revascularization. Although frailty is associated with mortality, the predictive value of these tools in predicting outcomes in PAD is limited. Future research should focus on designing new frailty screening tools specific to the PAD population.

VASCULAR MEDICINE (2022)

Article Geriatrics & Gerontology

Validating the agreement between the geriatric trauma frailty index and four published frailty scores in the Chinese geriatric trauma population

Fangjie Zhao et al.

Summary: This study aimed to compare the consistency of a constructed geriatric trauma frailty index with previously published indexes. The results showed that different frailty indexes have inconsistencies in evaluating the frailty status of patients and cannot be interchangeable.

BMC GERIATRICS (2022)

Article Surgery

A Vascular Quality Initiative frailty assessment predicts postdischarge mortality in patients undergoing arterial reconstruction

Larry W. Kraiss et al.

Summary: This study developed and tested an abbreviated method of frailty assessment using variables routinely collected by the Vascular Quality Initiative (VQI) registry. The method effectively predicted perioperative and 9-month mortality, and can assist in preoperative decision-making for vascular procedures.

JOURNAL OF VASCULAR SURGERY (2022)

Article Surgery

Effect of patient frailty status on outcomes of fenestrated-branched endovascular aortic repair for complex abdominal and thoracoabdominal aortic aneurysms

Paavo Paajanen et al.

Summary: This study assessed the effects of patient frailty status on the outcomes of fenestrated-branched endovascular aortic repair for complex abdominal and thoracoabdominal aortic aneurysms. The results showed that greater frailty was associated with higher early mortality, major adverse events, and lower long-term survival.

JOURNAL OF VASCULAR SURGERY (2022)

Review Peripheral Vascular Disease

Frailty scoring in vascular and endovascular surgery: A systematic review

Bernard J. Q. W. Koh et al.

Summary: This systematic review examined the association between frailty assessments and postoperative outcomes in patients with vascular disease. The study found significant associations between frailty and mortality, morbidity, adverse events, and other postoperative outcomes. The strongest evidence was found for the association between frailty and 30-day mortality.

VASCULAR MEDICINE (2022)

Article Geriatrics & Gerontology

The Clinical Frailty Scale can be used retrospectively to assess the frailty of patients with hip fracture: a validation study

Robert S. Kay et al.

Summary: The study assessed the validity of retrospectively assigned Clinical Frailty Scale (CFS) scores by non-orthogeriatricians in hip fracture patients. The findings showed that retrospective CFS scores assigned by non-orthogeriatricians are a valid means of assessing frailty status in hip fracture patients. However, there was a tendency for non-orthogeriatricians to slightly overestimate frailty status in retrospectively assigned CFS scores.

EUROPEAN GERIATRIC MEDICINE (2022)

Article Geriatrics & Gerontology

Association of SARC-F Score and Rockwood Clinical Frailty Scale with CT-Derived Muscle Mass in Patients with Aortic Aneurysms

K. Brown et al.

Summary: This study aimed to assess the association between core muscle mass and frailty in patients with aortic aneurysms. The results showed that the Clinical Frailty Scale (CFS) demonstrated a higher association with CT-derived muscle mass compared to the sarcopenia screening tool SARC-F.

JOURNAL OF NUTRITION HEALTH & AGING (2022)

Article Surgery

Frail patients having vascular surgery during the early COVID-19 pandemic experienced high rates of adverse perioperative events and amputation

Sarah J. Aitken et al.

Summary: This study reveals that older, frail patients undergoing vascular surgery may experience preventable adverse outcomes. Frailty assessment can aid in resource allocation and shared decision-making in the resource constrained COVID-19 pandemic environment.

ANZ JOURNAL OF SURGERY (2022)

Article Surgery

Long-Term Impact of Vascular Surgery Stress on Frail Older Patients

Ellen A. Gilbertson et al.

Summary: Frail patients undergoing high-stress vascular procedures have a significantly higher rate of complications within the year after their surgery, while increasing levels of surgical stress have a negligible effect on long-term outcomes among nonfrail patients. The interaction between frailty and high surgical stress is a significant predictor of adverse outcomes within 1 year after vascular surgery.

ANNALS OF VASCULAR SURGERY (2021)

Article Surgery

Patient comprehension necessary for informed consent for vascular procedures is poor and related to frailty

Jack Ruske et al.

Summary: Informed consent is essential in high-quality healthcare, however, vascular surgery patients have poor comprehension of basic information related to surgical informed consent, which is associated with frailty, education level, and decisional conflict.

JOURNAL OF VASCULAR SURGERY (2021)

Article Surgery

Predictive Effect of Frailty on Amputation, Mortality, and Ambulation in Patients Undergoing Revascularization for Acute Limb Ischemia

Amrita Sarkar et al.

Summary: Frailty in patients undergoing revascularization for acute limb ischemia is associated with discharge location and ambulatory status, but not with amputation or mortality. Endovascular treatment does not lessen the impact of frailty on these outcomes.

ANNALS OF VASCULAR SURGERY (2021)

Article Geriatrics & Gerontology

Automated Frailty Screening At-Scale for Pre-Operative Risk Stratification Using the Electronic Frailty Index

Kathryn E. Callahan et al.

Summary: The study demonstrates that an automated measure of frailty integrated within the Electronic Health Record (EHR) is effective in evaluating post-operative outcomes for older adults aged 65 and above undergoing nonemergency surgeries, with higher eFI scores associated with more severe adverse outcomes.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021)

Article Surgery

Frailty leads to poor long-term survival in patients undergoing elective vascular surgery

Louise B. D. Banning et al.

Summary: Preoperative frailty is significantly associated with increased long-term mortality after elective vascular surgery, with frail patients having a higher risk of mortality compared to nonfrail patients. This highlights the importance of assessing preoperative frailty in decision-making for vascular surgery patients.

JOURNAL OF VASCULAR SURGERY (2021)

Article Clinical Neurology

The Five-item Modified Frailty Index is Predictive of 30-day Postoperative Complications in Patients Undergoing Spine Surgery

Katherine E. Pierce et al.

Summary: The study evaluated the utility of the modified frailty index (mFI-5) in patients undergoing spine surgery. Results showed that mFI-5 was an effective predictor of postoperative events, with frailty score being associated with increased morbidity and mortality after surgery.

SPINE (2021)

Article Geriatrics & Gerontology

The effect of cognitive dysfunction on mid- and long-term mortality after vascular surgery

Andras Szabo et al.

Summary: This study aimed to assess the impact of psychological and socioeconomical factors on mortality after vascular surgery, and found that even mild cognitive dysfunction measured preoperatively using the MMSE is a potentially important risk factor for mortality.

BMC GERIATRICS (2021)

Article Surgery

Clinical Research Frailty is a Poor Predictor of Postoperative Morbidity and Mortality After Ruptured Abdominal Aortic Aneurysm

Michael Ciaramella et al.

Summary: The study found that frailty status, assessed by the modified frailty index, did not significantly predict in-hospital outcomes for patients undergoing surgery for ruptured abdominal aortic aneurysm (rAAA). Rather, the acuity on presentation may play a more significant role in postoperative prognosis than baseline health status.

ANNALS OF VASCULAR SURGERY (2021)

Article Surgery

Impact of Frailty on Clinical Outcomes after Carotid Artery Revascularization

Ava D. Mandelbaum et al.

Summary: The study using national cohort data from 2005-2017 found that 4.2% of patients undergoing carotid revascularization were identified as frail. Frail patients had higher rates of postoperative complications, mortality, and increased hospitalization costs and length of stay compared to nonfrail patients.

ANNALS OF VASCULAR SURGERY (2021)

Article Peripheral Vascular Disease

Risk Analysis Index: When Is The Patient Too Frail To Undergo A Carotid Artery Endarterectomy?

Sally Boyd et al.

ANNALS OF VASCULAR SURGERY (2021)

Article Surgery

Frailty as a predictor of major adverse cardiac and cerebrovascular events after endovascular aortic aneurysm repair

Jiarong Wang et al.

Summary: Frailty assessed by the mFI serves as a useful predictor of both short-term and long-term MACCE in elderly patients after EVAR, with improved discrimination and reclassification abilities compared with the RCRI.

JOURNAL OF VASCULAR SURGERY (2021)

Article Surgery

Long-Term Functional Decline Following Vascular Surgery Among Vulnerable Adults

Madeline M. DeAngelo et al.

Summary: The study found that the VES-13 survey can predict long-term functional decline in patients undergoing vascular surgery, with vulnerable patients more likely to experience declines in activities of daily living (ADLs) and instrumental activities of daily living (iADLs). This preoperative screening tool can help prepare older patients and caregivers for postoperative functional limitations.

ANNALS OF VASCULAR SURGERY (2021)

Article Surgery

Associations of Clinical Frailty with Severity of Limb Threat and Outcomes in Chronic Limb-threatening Ischaemia

John S. M. Houghton et al.

Summary: Frailty is highly prevalent among CLTI patients and associated with increased risk of death or amputation, highlighting its importance in risk assessment and management of CLTI patients. The Clinical Frailty Scale may serve as a useful adjunct in evaluating the risk profile of CLTI patients.

ANNALS OF VASCULAR SURGERY (2021)

Article Cardiac & Cardiovascular Systems

Association of Frailty With Treatment Selection and Long-Term Outcomes Among Patients With Chronic Limb-Threatening Ischemia

Neel M. Butala et al.

Summary: Among patients hospitalized with CLTI, frailty is an important independent predictor of revascularization strategy and longitudinal adverse outcomes.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2021)

Article Surgery

The relation between physical fitness, frailty and all-cause mortality after elective endovascular abdominal aortic aneurysm repair

Lassima M. Reijnen et al.

Summary: The study found a correlation between physical fitness and all-cause mortality in patients undergoing abdominal aortic aneurysm surgery, with MFI-5 and METs scores as evaluation indicators. Age and MFI-5 significantly contributed to predicting all-cause mortality rates after surgery.

JOURNAL OF VASCULAR SURGERY (2021)

Article Surgery

Frailty as a predictor of outcomes for patients undergoing carotid artery stenting

Muhammad Faateh et al.

Summary: The study investigated the relationship between 5mFI, functional status, and perioperative outcomes in patients undergoing CAS, finding that a higher 5mFI score was associated with poorer outcomes. In asymptomatic patients, a higher 5mFI score was particularly linked to worse perioperative outcomes.

JOURNAL OF VASCULAR SURGERY (2021)

Article Surgery

Impact of frailty on acute outcomes of endovascular thoracic and abdominal aneurysm repair

Samuel T. Kim et al.

Summary: Frailty is associated with poorer clinical outcomes and higher resource utilization in both endovascular aneurysm repair and thoracic endovascular aortic repair, highlighting the importance of including frailty in existing risk models for informed decision-making.

SURGERY (2021)

Article Anesthesiology

Clinical frailty scale: Inter-rater reliability of retrospective scoring in emergency abdominal surgery

Katarina M. Fornaess et al.

Summary: The study found strong agreement in the evaluation of Clinical Frailty Scale (CFS) scores assigned by three researchers in a retrospective review of patient records from 112 patients over 80 years of age undergoing emergency abdominal surgery.

ACTA ANAESTHESIOLOGICA SCANDINAVICA (2021)

Article Geriatrics & Gerontology

Preoperative comprehensive geriatric assessment and optimisation prior to elective arterial vascular surgery: a health economic analysis

Judith S. L. Partridge et al.

Summary: This study suggests that preoperative CGA is a cost-effective alternative to standard preoperative care for older patients undergoing elective arterial surgery, reducing postoperative complications and length of hospital stay, leading to health economic benefits.

AGE AND AGEING (2021)

Article Cardiac & Cardiovascular Systems

Body composition and mortality in patients undergoing endovascular treatment for peripheral artery disease

Tadashi Itagaki et al.

Summary: Low LBMI and Low BF% were associated with poor prognosis in patients undergoing EVT for PAD, and mortality was the lowest in the High LBMI/High BF% group compared with other body composition groups.

HEART AND VESSELS (2021)

Article Peripheral Vascular Disease

Preoperative geriatric assessment , a promising tool to improve outcomes in aortic pathology interventions

Laia Sanchez-Garcia et al.

Summary: Geriatric assessment plays a crucial role in evaluating the suitability of interventions for aortic diseases, with an unfavorable geriatric report correlating with short-term non-aortic mortality. Undergoing aortic intervention can significantly decrease mortality rates for patients involved.

INTERNATIONAL ANGIOLOGY (2021)

Article Surgery

The Administrative Risk Analysis Index (RAI-A) Does Not Predict Reintervention or Mortality Within 30 Days in Patients Who Undergo Elective Open or Endovascular Abdominal Aortic Aneurysm Repair

Jeanette Man et al.

Summary: The aim of this study was to assess the utility of the administrative risk analysis index (RAI-A) in predicting reintervention or mortality within 30 days for patients undergoing elective open or endovascular abdominal aortic aneurysm repair. The results showed that RAI-A was not effective in predicting these postoperative complications.

JOURNAL OF SURGICAL RESEARCH (2021)

Article Surgery

Frailty Syndrome in Patients With Lower Extremity Amputation: Simplifying How We Calculate Frailty

Viraj Pandit et al.

Summary: By comparing the application of the frailty index in patients undergoing lower limb amputation, it was found that the simplified mFI-5 and the original mFI-11 were equally effective in predicting mortality, postoperative complications, and 30-day readmissions. Frailty remained a strong predictor of postoperative complications, mortality, and 30-day readmission.

JOURNAL OF SURGICAL RESEARCH (2021)

Article Geriatrics & Gerontology

Identifying high-risk surgical patients: A study of older adults whose code status changed to Do-Not-Resuscitate

Hadiza S. Kazaure et al.

Summary: The study found that a new inpatient DNR order for older adults undergoing surgery was associated with a higher risk of death or hospice transition compared to those without a DNR order. However, if the DNR order was placed preoperatively, the risk was lower. This suggests that the timing of DNR orders may impact postoperative outcomes for older surgical patients.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021)

Article Peripheral Vascular Disease

Institutionalization Rates in First Year After Abdominal Aortic Aneurysm Repair in Older Adults

Shipra Arya et al.

JOURNAL OF VASCULAR SURGERY (2021)

Article Peripheral Vascular Disease

Risk Analysis Index Compared With Modified Frailty Index for Lower Extremity Amputation

Jacob Buckner et al.

JOURNAL OF VASCULAR SURGERY (2021)

Article Geriatrics & Gerontology

The Prognostic Performance of Frailty for Delirium and Functional Decline in Vascular Surgery Patients

Janani Thillainadesan et al.

Summary: In older vascular surgery patients, frailty is associated with hospital-acquired geriatric syndromes such as delirium, and the Frailty Index and Clinical Frailty Scale show acceptable prognostic performance for predicting delirium. However, not all individuals identified as frail develop delirium.

JOURNAL OF THE AMERICAN GERIATRICS SOCIETY (2021)

Article Surgery

Predicting outcomes in older patients undergoing vascular surgery using the Hospital Frailty Risk Score

S. J. Aitken et al.

Summary: The study evaluated the Hospital Frailty Risk Score in predicting mortality and hospital use in older patients undergoing vascular surgery. Results showed that patients in the high-risk frailty category had a significantly increased risk of death 30 days and two years after surgery.

BRITISH JOURNAL OF SURGERY (2021)

Article Surgery

Impact of Frailty on Outcomes in Patients Undergoing Open Abdominal Aortic Aneurysm Repair

Julien Al Shakarchi et al.

ANNALS OF VASCULAR SURGERY (2020)

Article Surgery

Effect of frailty syndrome on the outcomes of patients with carotid stenosis

Viraj Pandit et al.

JOURNAL OF VASCULAR SURGERY (2020)

Article Surgery

Frailty Syndrome in Patients with Carotid Disease: Simplifying How We Calculate Frailty

Viraj Pandit et al.

ANNALS OF VASCULAR SURGERY (2020)

Article Anesthesiology

Accuracy of the Clinical Frailty Scale for perioperative frailty screening: a prospective observational study

Jai N. Darvall et al.

CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE (2020)

Article Surgery

Sensor-Based Upper-Extremity Frailty Assessment for the Vascular Surgery Risk Stratification

Federico J. Yanquez et al.

JOURNAL OF SURGICAL RESEARCH (2020)

Article Medicine, General & Internal

Using serum albumin to predict frailty in the vascular perioperative patient

Nathan Spence et al.

CLINICAL MEDICINE (2020)

Article Peripheral Vascular Disease

The Effect of Frailty on Long Term Outcomes in Vascular Surgical Patients

Graeme K. Ambler et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2020)

Article Surgery

Comparison of Surgeon Assessment to Frailty Measurement in Abdominal Aortic Aneurysm Repair

Elizabeth L. George et al.

JOURNAL OF SURGICAL RESEARCH (2020)

Article Cardiac & Cardiovascular Systems

IMPACT OF FRAILTY ON CLINICAL OUTCOMES AFTER EVT FOR FEMOROPOPLITEAL LESIONS

Seiichi Hiramori et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2020)

Article Peripheral Vascular Disease

Functional Decline Among Frail Patients After Vascular Surgery

Jordan Peacock et al.

JOURNAL OF VASCULAR SURGERY (2020)

Article Peripheral Vascular Disease

Frailty Index Is a Poor Predictor of Postoperative Morbidity and Mortality After Ruptured Abdominal Aortic Aneurysm

Timothy V. Kravchenko et al.

JOURNAL OF VASCULAR SURGERY (2020)

Article Peripheral Vascular Disease

Frailty Remains Highly Correlated With Mortality After Endovascular Aneurysm Repair in Octogenarians

Lily Johnston et al.

JOURNAL OF VASCULAR SURGERY (2020)

Article Peripheral Vascular Disease

Frailty Increases Reinterventions for Surgical Site Infections After Infrainguinal Bypass Procedures

Aditi Kashikar et al.

JOURNAL OF VASCULAR SURGERY (2020)

Article Peripheral Vascular Disease

Can a Frailty Index Score Aid in the Decision to Stop Abdominal Aortic Aneurysm (AAA) Surveillance or Turn Down a Patient for Elective Infrarenal AAA Repair?

Mary Connolly et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2020)

Article Surgery

Transition in Frailty State Among Elderly Patients After Vascular Surgery

Louise B. D. Banning et al.

WORLD JOURNAL OF SURGERY (2020)

Article Surgery

Patient-Surgeon Agreement in Assessment of Frailty, Physical Function, & Social Activity

Teryn A. Holeman et al.

JOURNAL OF SURGICAL RESEARCH (2020)

Review Urology & Nephrology

Frailty assessment in older urological patients prior to surgery: a systematic review and narrative synthesis

Andrea Haren et al.

THERAPEUTIC ADVANCES IN UROLOGY (2020)

Article Clinical Neurology

Impact of Frailty on Medium-Term Outcome in Asymptomatic Patients After Carotid Artery Stenting

Hideyuki Ishihara et al.

WORLD NEUROSURGERY (2019)

Article Surgery

Frailty assessment in older adults undergoing interventions for peripheral arterial disease

Laura M. Drudi et al.

JOURNAL OF VASCULAR SURGERY (2019)

Review Multidisciplinary Sciences

Instruments for the detection of frailty syndrome in older adults: A systematic review

Jossiana Wilke Faller et al.

PLOS ONE (2019)

Meeting Abstract Geriatrics & Gerontology

COMPARING THE PREVALENCE OF FRAILTY ON VASCULAR SURGERY AND GERIATRIC MEDICINE WARDS

D. Scholes et al.

AGE AND AGEING (2019)

Article Surgery

Simplifying Hospital Quality Comparisons for Vascular Surgery Using Center-Level Frailty Burden Rather than Comorbidities

Elizabeth L. George et al.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2019)

Article Peripheral Vascular Disease

The Effect of Frailty on Outcome after Vascular Surgery

Linda Visser et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2019)

Article Peripheral Vascular Disease

Do Vascular Surgery Interventions Increase Frailty?

Luke Hopkins et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2019)

Article Peripheral Vascular Disease

The Addenbrookes Vascular Frailty Score Predicts Adverse Outcomes in Vascular Surgery Patients

Prasanti Alekhya Kotta et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2019)

Review Surgery

Scoping review of frailty in vascular surgery

Laura M. Drudi et al.

JOURNAL OF VASCULAR SURGERY (2019)

Meeting Abstract Geriatrics & Gerontology

PROJECT FOR VASCULAR GERIATRICIAN INPUT

S. Gupta et al.

AGE AND AGEING (2019)

Article Surgery

Rapid Methods for Routine Frailty Assessment during Vascular Surgery Clinic Visits

Luke G. Mirabelli et al.

ANNALS OF VASCULAR SURGERY (2018)

Article Cardiac & Cardiovascular Systems

Impact of Frailty on Clinical Outcomes in Patients With Critical Limb Ischemia

Yasuaki Takeji et al.

CIRCULATION-CARDIOVASCULAR INTERVENTIONS (2018)

Article Surgery

New 5-Factor Modified Frailty Index Using American College of Surgeons NSQIP Data

Sneha Subramaniam et al.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2018)

Article Surgery

Ambulation and functional outcome after major lower extremity amputation

Atish Chopra et al.

JOURNAL OF VASCULAR SURGERY (2018)

Review Health Care Sciences & Services

COSMIN guideline for systematic reviews of patient-reported outcome measures

C. A. C. Prinsen et al.

QUALITY OF LIFE RESEARCH (2018)

Article Surgery

Preoperative frailty assessment predicts loss of independence after vascular surgery

Graham W. Donald et al.

JOURNAL OF VASCULAR SURGERY (2018)

Article Surgery

A 5-item frailty index based on NSQIP data correlates with outcomes following paraesophageal hernia repair

Munyaradzi Chimukangara et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2017)

Meeting Abstract Cardiac & Cardiovascular Systems

The impact of frailty score on early prognosis in patients with critical limb ischemia

Naohiko Nemoto et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2017)

Article Surgery

Preoperative frailty is predictive of complications after major lower extremity amputation

Zachary B. Fang et al.

JOURNAL OF VASCULAR SURGERY (2017)

Article Surgery

Frailty and Geriatric Syndromes in Vascular Surgical Ward Patients

Prudence J. McRae et al.

ANNALS OF VASCULAR SURGERY (2016)

Article Surgery

Gender and frailty predict poor outcomes in infrainguinal vascular surgery

Reshma Brahmbhatt et al.

JOURNAL OF SURGICAL RESEARCH (2016)

Article Surgery

Validation of a modified Frailty Index to predict mortality in vascular surgery patients

Bryan A. Ehlert et al.

JOURNAL OF VASCULAR SURGERY (2016)

Review Geriatrics & Gerontology

Frailty syndrome and pre-operative risk evaluation: A systematic review

Cristina Buigues et al.

ARCHIVES OF GERONTOLOGY AND GERIATRICS (2015)

Article Surgery

Effect of frailty on short- and mid-term outcomes in vascular surgical patients

G. K. Ambler et al.

BRITISH JOURNAL OF SURGERY (2015)

Meeting Abstract Cardiac & Cardiovascular Systems

IMPACT OF CLINICAL FRAILTY ON VASCULAR FLOW RESERVE AFTER INFRAPOPLITEAL INTERVENTION IN PATIENTS WITH CRITICAL LIMB ISCHEMIA

Masashi Fukunaga et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2015)

Meeting Abstract Cardiac & Cardiovascular Systems

VASCULAR RISK SCORE AS A PREDICTOR OF POOR OUTCOMES IN PATIENTS UNDERGOING VASCULAR INTERVENTION

Bernard Ashby et al.

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY (2014)

Article Surgery

The prevalence and impact of undiagnosed cognitive impairment in older vascular surgical patients

Judith S. L. Partridge et al.

JOURNAL OF VASCULAR SURGERY (2014)

Meeting Abstract Surgery

The modified frailty index as a predictor of operative mortality and morbidity in lower extremity amputations

Joseph Karam et al.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2012)

Article Geriatrics & Gerontology

The Frailty Syndrome: Definition and Natural History

Qian-Li Xue

CLINICS IN GERIATRIC MEDICINE (2011)

Article Surgery

Standardised Frailty Indicator as Predictor for Postoperative Delirium after Vascular Surgery: A Prospective Cohort Study

R. A. Pol et al.

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY (2011)

Article Surgery

Frailty as a Predictor of Surgical Outcomes in Older Patients

Martin A. Makary et al.

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS (2010)

Article Geriatrics & Gerontology

Frailty Syndrome: A Transitional State in a Dynamic Process

Pierre-Olivier Lang et al.

GERONTOLOGY (2009)

Article Medicine, General & Internal

Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement

David Moher et al.

BMJ-BRITISH MEDICAL JOURNAL (2009)

Review Geriatrics & Gerontology

Frailty in relation to the accumulation of deficits

Kenneth Rockwood et al.

JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES (2007)

Article Geriatrics & Gerontology

Validity and reliability of the edmonton frail scale

Darryl B. Rolfson et al.

AGE AND AGEING (2006)

Article Surgery

The aging population and its impact on the surgery workforce

DA Etzioni et al.

ANNALS OF SURGERY (2003)