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  • Preoperative functional performance is the best predictor for loss of independence after major surgery among older adults

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Care of the older person
Preoperative functional performance is the best predictor for loss of independence after major surgery among older adults
  1. Cali E Johnson,
  2. Benjamin S Brooke
  1. Division of Vascular Surgery, Department of Surgery, University of Utah Health, Salt Lake City, Utah, USA
  1. Correspondence to Dr Benjamin S Brooke, Division of Vascular Surgery, Department of Surgery, University of Utah Health, Salt Lake City, Utah, USA; benjamin.brooke{at}hsc.utah.edu

https://doi.org/10.1136/ebnurs-2022-103654

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    Commentary on: Goeddel L, Murphy Z, Owodunni O, et al. Domains of Frailty Predict Loss of Independence in Older Adults after Non-Cardiac Surgery. Ann Surg. 2022 Sep 20. doi: 10.1097/SLA.0000000000005720. Epub ahead of print.

    Implications for practice and research

    • Frailty screening with the Edmonton Frailty Scale can be used to identify risk factors for loss of independence after surgery, including a patient’s functional performance, functional dependence, social support and urinary incontinence.

    • Prospective studies are needed to test whether risk factors can be modified before surgery to prevent loss of independence among frail patients.

    Context

    Frailty is a common syndrome of physiological decline among older adults characterised by vulnerability to adverse outcomes and loss of functional independence after major surgery.1 The study by Goeddel et al 2 examined 11 geriatric domains associated with frailty that were collected before surgery using the Edmonton Frailty Scale (EFS) survey, …

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    Footnotes

    • Twitter @BenjaminSBrooke

    • Competing interests None declared.

    • Provenance and peer review Commissioned; internally peer reviewed.