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Invited Commentary
May 16, 2018

From Preoperative Assessment to Preoperative Optimization of Frailty

Author Affiliations
  • 1Steinberg Bernstein Centre for Minimally Invasive Surgery and Innovation, McGill University Health Centre, Montreal, Quebec, Canada
  • 2Department of Surgery, McGill University Health Centre, Montreal, Quebec, Canada
  • 3Department of Anesthesia, McGill University Health Centre, Montreal, Quebec, Canada
JAMA Surg. 2018;153(5):e180213. doi:10.1001/jamasurg.2018.0213

Frailty is a multidimensional syndrome of decreased physiologic reserve that describes an older person’s vulnerability to health stressors. Frail patients have higher rates of morbidity, mortality, and hospital readmission and take longer to recover.1,2

Failure to rescue (FTR), defined as death after a complication, is an endorsed quality measure. While rescue requires both timely recognition and appropriate treatment of complications, patient-level factors are also important. Because frailty is distinct from age and comorbidities, standard risk adjustment may not be adequate.

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