Related Experiment Video

Updated: Dec 31, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
04:00

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

1.1K

Role of Frailty on Risk Stratification in Cardiac Surgery and Procedures

Samuele Baldasseroni1, Alessandra Pratesi2, Francesco Orso1

  • 1Geriatric Medicine Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.

Advances in Experimental Medicine and Biology
|January 3, 2020
PubMed

Insights

The Comprehensive Geriatric Assessment (CGA) can improve predictions for older adults undergoing transcatheter aortic valve implantation (TAVI). This tool helps identify frailty and optimize treatment selection for better outcomes.

Area of Science:

  • Geriatric Medicine
  • Interventional Cardiology
  • Cardiovascular Surgery

Background:

  • Increasing number of elderly patients undergoing interventional cardiology procedures like TAVI.
  • Higher perioperative risks, mortality, and disability in older adults compared to younger patients.
  • Limitations of current specialist-oriented risk scores in capturing geriatric-specific outcomes.

Purpose of the Study:

  • To introduce the Comprehensive Geriatric Assessment (CGA) as a tool for evaluating elderly patients for interventional cardiology.
  • To improve prognostic accuracy beyond traditional outcomes, incorporating frailty-related factors.
  • To aid physicians in determining the futility of interventions and optimizing TAVI candidate selection.

Main Methods:

  • Development and application of a multidimensional diagnostic process (CGA).
  • Focus on detecting frailty and assessing geriatric-specific outcomes (delirium, cognitive decline, institutionalization, functional status).
  • Comparison with existing specialist-oriented surgical risk scores.

Main Results:

  • CGA aims to enhance the prognostic ability of current risk scores for short and long-term mortality and disability.
  • Provides clinical indications to identify futile interventional approaches.
  • Potential to optimize the selection of TAVI candidates who will maximally benefit.

Conclusions:

  • The CGA is a valuable geriatric tool for assessing frailty in older adults undergoing interventional cardiology.
  • It improves risk prediction and aids in clinical decision-making for procedures like TAVI.
  • Optimized patient selection using CGA can lead to better procedural outcomes and resource utilization.

Keywords:
Cardiac surgeryComprehensive geriatric assessmentDisabilityElderlyFrailtyGeriatricsSurgical risk scoresTAVI

More Related Videos

Frailty Assessment in an Aging Mouse Model06:58

Frailty Assessment in an Aging Mouse Model

Published on: September 23, 2025

346
Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty05:53

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Published on: July 24, 2013

17.0K

Related Concept Videos

Heart Failure IV: Classification and Diagnostic Evaluation01:30

Heart Failure IV: Classification and Diagnostic Evaluation

Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
252
Heart Failure I: Introduction01:27

Heart Failure I: Introduction

Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
618
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.6K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
462
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
207
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
366