New guidelines for the perioperative care of people living with frailty undergoing elective and emergency surgery—a commentary
Author:
Partridge Judith S L12, Ryan Jack1, Dhesi Jugdeep K12, Bailey Tessa, Barker Claire, Bates Louise, Bell Rachel, Bryden Daniele, Carter Sarah, Clegg Andrew, Conroy Simon, Cowley Alison, Curtis Ali, Diedo Beck, Eardley William, Evley Rachel, Hare Sarah, Hopper Adrian, Humphry Nia, Kanga Kate, Kilvington Bill, Lees Nicholas P, McDonald David, McGarrity Laura, McNally Scarlett, Meilak Catherine, Mudford Lawrence, Nolan Catherina, Pearce Lyndsay, Price Angeline, Proffitt Amy, Romano Vittoria, Rose Shelley, Selwyn David, Shackles David, Syddall Eleanor, Taylor Derek, Tinsley Sarah, Vardy Emma, Youde Jane,
Affiliation:
1. Department of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust , London , UK 2. School of Life Course and Population Sciences, King's College London London, UK
Abstract
Abstract
Frailty is common in the older population and is a predictor of adverse outcomes following emergency and elective surgery. Identification of frailty is key to enable targeted intervention throughout the perioperative pathway from contemplation of surgery to recovery. Despite evidence on how to identify and modify frailty, such interventions are not yet routine perioperative care. To address this implementation gap, a guideline was published in 2021 by the Centre for Perioperative Care and the British Geriatrics Society, working with patient representatives and all stakeholders involved in the perioperative care of patients with frailty undergoing surgery. The guideline covers all aspects of perioperative care relevant to adults living with frailty undergoing elective and emergency surgery. It is written for healthcare professionals, as well as for patients and their carers, managers and commissioners. Implementation of the guideline will require collaboration between all stakeholders, underpinned by an implementation strategy, workforce development with supporting education and training resources, and evaluation through national audit and research. The guideline is an important step in improving perioperative outcomes for people living with frailty and quality of healthcare services. This commentary provides a summary and discussion of the evidence informing the standards and recommendations in the published guideline.
Publisher
Oxford University Press (OUP)
Subject
Geriatrics and Gerontology,Aging,General Medicine
Cited by
8 articles.
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