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Updated: Sep 18, 2025

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
Frailty and perioperative outcomes: SNAP-3 as a call to action
Daniel I McIsaac1, Leandra Amado2
1Department of Anesthesiology and Pain Medicine, University of Ottawa, Ottawa, ON, Canada; Acute Care Research Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada; Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ottawa, ON, Canada; School of Epidemiology and Public Health, University of Ottawa, ON, Canada.
Abstract:
Generalisable, prospectively collected data from 7800 older UK surgical patients in the 3rd Sprint National Anesthesia Project (SNAP-3) confirm that the presence of frailty is a key risk factor for adverse outcomes among older surgical patients. What comes next? Anaesthetists should strive to identify all patients with a Clinical Frailty Scale score ≥4 as being at elevated risk. Researchers, in collaboration with patients, clinicians and health system leaders, should move from a scientific focus on frailty as a risk factor to developing and evaluating interventions to improve outcomes for the growing population of surgical patients with frailty.
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