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Related Concept Videos

Flail Chest-II01:26

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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.
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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...
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The impact of BMI on frailty screening and the frailty phenotype in ventral hernia patients.

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Related Experiment Video

Updated: Jun 12, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
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Classifying frailty in the ventral hernia population.

Ashley Huggins1, Cameron Casson2, Tim Holden3

  • 1Washington University in St. Louis School of Medicine, 660 S. Euclid Avenue, Campus Box 8109, Saint Louis, MO, 63110, USA. a.e.huggins@wustl.edu.

Surgical Endoscopy
|September 18, 2024
PubMed
Summary
This summary is machine-generated.

Frailty is more common in ventral hernia repair patients than previously thought. The FRAIL Scale and Fried Frailty Index (FFI) are reliable tools for preoperative frailty assessment in surgical planning.

Keywords:
FrailtyMinimally invasive surgeryVentral hernia

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Area of Science:

  • Geriatric Medicine
  • Surgical Outcomes
  • Health Services Research

Background:

  • Frailty is a significant predictor of adverse outcomes in surgical patients.
  • Ventral hernia repair is a common elective procedure with limited data on frailty prevalence.
  • This study compares validated frailty measures in this patient population.

Purpose of the Study:

  • To compare the prevalence of frailty using validated measures in patients undergoing ventral hernia repair.
  • To assess the correlation between different frailty assessment tools.
  • To identify reliable tools for preoperative frailty screening in this cohort.

Main Methods:

  • Prospective enrollment of 63 adult patients undergoing ventral hernia repair.
  • Administration of Fried Frailty Index (FFI), FRAIL Scale, SARC-F, and PROMIS measures.
  • Calculation of Modified Frailty Index (mFI-11) and Charleston Comorbidity Index (CCI) via chart review.

Main Results:

  • Frailty prevalence varied by measure: mFI-11 (19%), FFI (27%), FRAIL Scale (23.8%), SARC-F (23.8%).
  • FFI and FRAIL Scale showed strong correlations with other frailty measures (p < 0.05).
  • Longer Timed Up and Go test duration was associated with frailty/sarcopenia screening (OR 1.896, p = 0.016).

Conclusions:

  • Frailty is more prevalent in ventral hernia repair patients than previously reported.
  • FFI and FRAIL Scale are strongly correlated and suitable for preoperative assessment.
  • Surgeons should utilize these tools for frailty estimation, operative planning, and shared decision-making.