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J. Cardiothorac. Vasc. Anesth. · Dec 2023
CommentCon: Can We Influence Postoperative Outcomes of Frail Patients After Cardiac Surgery?
- Ieva Jovaišiene and Dainius Trybė.
- Department of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania. Electronic address: ieva.jovaisiene@santa.lt.
- J. Cardiothorac. Vasc. Anesth. 2023 Dec 1; 37 (12): 266526672665-2667.
AbstractFrail patients are scheduled routinely for elective cardiovascular surgery. Despite the proven association between frailty and postoperative outcomes, currently, there is no consistent evidence that the preoperative optimization of frail patients with preoperative nutrition support and exercise programs can alter postoperative mortality. Established frailty diagnostic tools are not sufficient to grasp the multidimensional nature of frailty in cardiovascular patients. Prehabilitation programs and preoperative nutritional support are time- and resource-consuming and, therefore, are hard to implement in routine clinical practice.Copyright © 2023 Elsevier Inc. All rights reserved.
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