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Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles
Published on: July 26, 2024
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Small bowel obstruction and frailty: a systematic review.
Aiman Ibrahim1, Joseph Froud1, Maria Lauda Tomasi2
1Gastrointestinal Surgery Department, Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.
European Geriatric Medicine
|March 5, 2026
Summary
Frailty screening in small bowel obstruction (SBO) is crucial. Identifying frail patients aids timely, individualized care and may improve outcomes for older adults.
Area of Science:
- Geriatric Medicine
- Surgical Outcomes
- Public Health
Background:
- Surgical decision-making for small bowel obstruction (SBO) in older, frail adults presents challenges.
- Frailty, characterized by diminished physiological reserve, requires tailored treatment.
- Comprehensive geriatric assessment (CGA) is vital for guiding care.
Purpose of the Study:
- To explore the role of frailty in small bowel obstruction (SBO).
- To identify frailty screening tools used in SBO management.
- To inform individualized treatment strategies for frail SBO patients.
Main Methods:
- Systematic literature search following PRISMA principles (PubMed, Scopus, etc.).
- Inclusion of studies investigating frailty in adult SBO patients.
- Independent screening of titles, abstracts, and full texts by two reviewers.
Main Results:
- Six studies met inclusion criteria, analyzing 1109 records.
- Frail patients exhibited higher mortality and longer hospital stays.
- Delayed intervention in frail patients was linked to increased 30-day mortality.
Conclusions:
- Frailty screening and CGA are important for older SBO patients.
- Identifying frail individuals supports timely, personalized decision-making.
- Further research is needed on early surgery's impact and specific guidance development.
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