Gender and frailty predict poor outcomes in infrainguinal vascular surgery

The Impact of Frailty on Outcomes of Elderly Patients After Major Vascular Surgery: A Systematic Review and Meta-analysis

“…1). Seven multi-domain tools were adopted in 12 studies to assess frailty status before vascular procedures: the Groningen Frailty Indicator (GFI), 8 Edmonton Frail Scale (EFS), 31 modified Frailty Index (mFI), 13,14,26,29,30 Barthel Index (BI), 15 Addenbrooke's Vascular Frailty Score (AVFS), 28 Ruptured Aneurysm Frailty Score (RAFS), 27…”

Diagnostic criteria for pre-operative anaemia-time to end sex discrimination

“…It is widely accepted that women present for surgery at a more acute and symptomatic stage of their disease, are often older, and have a higher incidence of comorbidity . This suggests that, while women may be protected from factors such as cardiovascular disease, the increasing incidence of their comorbidities, higher than observed a decade ago, could impact on the underling pathophysiology and disease severity . In elective orthopaedic surgery, retrospective analysis has also shown trends to greater comorbidity, requirement for post operative transfusion and delayed discharge in women compared with men .…”

Review of perioperative falls

“…A number of recent, salient surgical publications have linked frailty to postoperative outcomes. [75][76][77][78][79][80][81] In one important multinational study, frailty in women was linked to increased risk for falls across countries and age ranges. 82 Our recent finding that preoperative falls are prevalent in all (adult) age groups 11 endorses the perspective that physiological age is probably more informative than chronological age in determining the risk of falls.…”