PDF(Pubmed)
Abstract：
UNASSIGNED: Total joint arthroplasties are among the most common surgical procedures performed in the United States. Although numerous safeguards are in place to optimize patient health and safety pre-, intra-, and postoperatively, patient frailty is often incompletely assessed or not assessed at all. Frailty has been shown to increase rates of adverse events and length of stay. We discuss the impact of frailty on patient outcomes and healthcare economics as well as provide widely accepted models to assess frailty and their optimal usage.
UNASSIGNED: Several databases were searched using the keywords \"frailty,\" \"TJA,\" \"THA,\" \"frailty index,\" \"frailty assessment,\" and \"frailty risk.\" A total of 45 articles were used in this literature review.
UNASSIGNED: It is estimated that nearly half of patients over the age of 85 meet criteria for frailty. Frailty in surgical patients has been shown to increase total costs as well as length of stay. Additionally, increased rates of numerous adverse events are associated with increased frailty.
UNASSIGNED: The literature demonstrates that frailty poses increased risk of adverse events, increased length of stay, and increased cost. There are several models that accurately assess frailty and can feasibly be implemented into preoperative screening.
UNASSIGNED: Several databases were searched using the keywords \"frailty,\" \"TJA,\" \"THA,\" \"frailty index,\" \"frailty assessment,\" and \"frailty risk.\" A total of 45 articles were used in this literature review.
UNASSIGNED: It is estimated that nearly half of patients over the age of 85 meet criteria for frailty. Frailty in surgical patients has been shown to increase total costs as well as length of stay. Additionally, increased rates of numerous adverse events are associated with increased frailty.
UNASSIGNED: The literature demonstrates that frailty poses increased risk of adverse events, increased length of stay, and increased cost. There are several models that accurately assess frailty and can feasibly be implemented into preoperative screening.
摘要：
■全关节置换术是美国最常见的外科手术。尽管有许多保护措施可以优化患者的健康和安全，intra-,术后，患者的虚弱往往未得到完全评估或根本未得到评估.虚弱已被证明会增加不良事件的发生率和住院时间。我们讨论了虚弱对患者预后和医疗保健经济学的影响，并提供了广泛接受的模型来评估虚弱及其最佳使用情况。
■使用关键字“脆弱”搜索了几个数据库，\"\"TJA,\"\"THA,“\”脆弱指数，“”脆弱评估，“和”脆弱的风险。“这篇文献综述共使用了45篇文章。
■据估计，85岁以上的患者中有近一半符合虚弱标准。手术患者的虚弱已被证明会增加总成本和住院时间。此外,许多不良事件的发生率增加与虚弱增加相关.
■文献表明，虚弱会增加不良事件的风险，停留时间增加，和增加的成本。有几种模型可以准确评估虚弱，并且可以在术前筛查中实施。
■使用关键字“脆弱”搜索了几个数据库，\"\"TJA,\"\"THA,“\”脆弱指数，“”脆弱评估，“和”脆弱的风险。“这篇文献综述共使用了45篇文章。
■据估计，85岁以上的患者中有近一半符合虚弱标准。手术患者的虚弱已被证明会增加总成本和住院时间。此外,许多不良事件的发生率增加与虚弱增加相关.
■文献表明，虚弱会增加不良事件的风险，停留时间增加，和增加的成本。有几种模型可以准确评估虚弱，并且可以在术前筛查中实施。
