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Nursing issues
Frailty is a predictor of mortality in surgical emergency admissions among UK adults
  1. Megumi Nimura1,
  2. Gotaro Kojima2
  1. 1 Gynaecology, Queen Charlotte’s and Chelsea Hospital, London, UK
  2. 2 Videbimus Toranomon Clinic, Tokyo, Japan
  1. Correspondence to Dr Gotaro Kojima, Videbimus Toranomon Clinic, Tokyo 105-0004, Japan; gotarokojima{at}

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Commentary on: Hewitt J, Carter B, McCarthy K, et al. Frailty predicts mortality in all emergency surgical admissions regardless of age. An observational study. Age Ageing 2019;48:388–94. doi: 10.1093/ageing/afy217.

Implications for practice and research

  • Frailty assessment for emergency surgical patients may be useful in prognostication and outcome improvement.

  • Further research is needed to improve outcomes by identifying frail older people and administering interventions while still in the community.


Frailty is a term that has been well-established and associated with deteriorated capacity to maintain homoeostasis and vulnerability to stressors.1 Various studies have demonstrated the links between frailty and its adverse outcomes.2 3 While many of the previous studies focused on its negative impacts on older populations, evidence on frailty among emergency surgical patients is scarce. Hewitt et al 4 examined frailty status among …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.