Pro and Con|Articles in Press

Pro: can we influence postoperative outcomes of frail patients after cardiac surgery?

  • Marija Svetikiene
    Corresponding author: Marija Svetikiene, MD, PhD, Telephone number +370 6 1225352, Kryzioku sodu 9 street, House 13, Vilnius, Lithuania, LT-08445
    Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania

    Department of Anaesthesiology and Intensive Care, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University
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  • Salomeja Aliukaite
    University College London Hospitals NHS Foundation Trust, London, UK

    Human Physiology and Performance Laboratory, Centre for Perioperative Medicine, University College London
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Published:March 06, 2023DOI:


      A significant proportion of cardiac surgery patients are frail. The first step to improve outcomes is to recognise that despite reduced postoperative mortality in cardiac surgery, postoperative morbidity remains high, most likely of more frail patients receiving surgeries. Moving from a traditional to a patient-oriented outcome paradigm could improve decision-making and help achieve treatment goals relevant to frail patients, such as quicker recovery, symptom control, and strategies to reduce postoperative complications. Frailty recognition can prompt preoperative and postoperative interventions. Exercise programmes and nutrition optimisation support frail patients in the perioperative period and positively alter outcomes.


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