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Care of the older person
Being non-frail and having an elective procedure are the strongest predictors associated with functional recovery among older survivors of major surgery
  1. Kaye Rolls1,2,3,
  2. Lynette Mc Evoy4,
  3. Matthew Ritcher3,
  4. Steven A Frost1,2
  1. 1Centre for Applied Nursing Research, Ingham Institute of Applied Medical Research, Liverpool, New South Wales, Australia
  2. 2University of Western Sydney, Penrith, New South Wales, Australia
  3. 3Neurosurgery, Liverpool Hospital, Liverpool, New South Wales, Australia
  4. 4Orthopaedics, Liverpool Hospital, Liverpool, New South Wales, Australia
  1. Correspondence to Dr Steven A Frost, University of Western Sydney, Penrith, NSW 2751, Australia; s.frost{at}westernsydney.edu.au

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Commentary on: Becher RD, Murphy TE, Gahbauer, EA. et al. Factors associated with functional recovery among older survivors of major surgery. Ann Surg 2019; Feb 6. doi:10.1097/SLA.0000000000003233. [Epub ahead of print].

Implications for practice and research

  • Presurgical frailty status needs to be routinely assessed among the elderly.

  • Comprehensive presurgical and postsurgical care needs to be planned for the frail.

Context

Worldwide, the population is ageing and in the context of hospital care, the most problematic consequence of this is the clinical condition of frailty.1 Frailty develops as a result of age and or chronic disease-related decline in several physiological systems, leaving the individual vulnerable to minor stressor events (eg, change in medications, illness and surgery), leading to an acute deterioration in health and increasing the risk of adverse outcomes, in the hospital setting.1 …

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Footnotes

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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