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Frailty changes after cardiac surgery: better or worse?
Chiao-Hsin Teng1, Ssu-Yuan Chen2,3, Yu-Chung Wei4
1School of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Guishan District, Taoyuan City 33302, Taiwan.
European Journal of Cardiovascular Nursing
|June 12, 2025
Summary
Cardiac surgery can improve frailty in most patients. A study found that 92.5% of patients alive 6 months post-surgery maintained or improved their frailty status, suggesting surgery may aid recovery.
Area of Science:
- Gerontology
- Cardiovascular Surgery
- Clinical Outcomes
Background:
- Frailty is a concern in older adults undergoing cardiac surgery.
- Limited evidence exists on the impact of cardiac surgery on frailty.
- This study investigates frailty changes post-cardiac intervention.
Purpose of the Study:
- To explore changes in frailty status before and 6 months after cardiac surgery.
- To assess the proportion of patients improving, maintaining, or worsening frailty.
- To determine the likelihood of frailty improvement post-surgery.
Main Methods:
- Secondary analysis of 273 adults with pre-surgery frailty phenotypes.
- Frailty assessed using the Fried frailty scale pre- and post-surgery.
- Analysis included 212 participants after exclusions (deaths, loss to follow-up).
- Calculated odds of frailty change and performed worst-case scenario analysis.
Main Results:
- At 6 months post-surgery, 92.5% of analyzed participants had similar or better frailty.
- 79.4% of frail participants showed improvement.
- All participants were more likely to have better or similar frailty (odds: 12.25).
- Worst-case analysis (n=273) showed 71.8% with better or similar frailty (odds: 2.55).
Conclusions:
- The majority of cardiac surgery patients alive at 6 months experienced improved or stable frailty.
- Worst-case scenario analysis supported the positive trend in frailty status.
- Cardiac surgery, if survived and tolerated, may contribute to frailty improvement.
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