The impact of frailty in older women undergoing pelvic floor reconstructive surgery
Autor: | Elisabeth A. Erekson, Jonathan S Shaw, Holly E. Richter |
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Rok vydání: | 2020 |
Předmět: |
Reconstructive surgery
medicine.medical_specialty General Mathematics Frail Elderly MEDLINE Frailty Index 030209 endocrinology & metabolism Timed Up and Go test 03 medical and health sciences 0302 clinical medicine Postoperative Complications Medicine Humans In patient Elective surgery Geriatric Assessment Postural Balance Aged 030219 obstetrics & reproductive medicine Pelvic floor Frailty business.industry Applied Mathematics Obstetrics and Gynecology Pelvic Floor Plastic Surgery Procedures Frailty assessment body regions medicine.anatomical_structure Time and Motion Studies Physical therapy Female business |
Zdroj: | Menopause (New York, N.Y.). 28(3) |
ISSN: | 1530-0374 |
Popis: | Importance and objective Women ≥ 65 years old commonly undergo pelvic surgery but are often not screened for coexisting frailty, the presence of which increases the risk of postoperative complications. In the absence of a current consensus, the objective of this review is to discuss the incorporation of a frailty assessment into the work-up of women undergoing pelvic floor reconstructive surgery. Methods This is a review of the literature, focusing on measurements of frailty including the Edmonton Frail Scale, FRAIL scale, Groningen Frailty Indicator, frailty phenotype, Tilburg Frailty Indicator, a 70-item frailty index, Mini-Cog score, Charlson comorbidity index, timed up and go test, and life-space assessment. Their use in the perioperative management of older women undergoing pelvic floor reconstructive surgery will be discussed. Discussion and conclusion Understanding the concept of frailty and how it may affect surgical decisions and outcomes is essential. The timed up and go test, life space assessment and Mini-Cog assessment at a minimum should be considered preoperatively in patients over the age of 65 years old planning pelvic floor or elective surgery. |
Databáze: | OpenAIRE |
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