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Frailty in Aortic Surgery

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Surgical Management of Aortic Pathology

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Abstract

Due to advances in modern medicine, surgeons are faced with increasingly older patients with complex comorbidities to be considered for surgical procedures. Chronologic age and comorbidities, however, are not the only factors predictive of surgical outcomes or benefits of therapy. Thus, widely used risk scores for cardiac surgery, including the European system for cardiac operative risk evaluation (EuroSCORE and EuroSCORE II) and Society of Thoracic Surgeons Predicted Risk of Mortality (STS PROM) score, do not always reflect the true perioperative risk for older patients because of their reliance on variables including chronological age and comorbidities that are well defined, measurable, and captured in databases on most patients. Nevertheless, these scores are still frequently used to decide if a patient is eligible for an operation or not. It is known that, even with the same measured preoperative risks, some individuals have better outcomes after an operation as compared to others. Therefore, a surgeon may additionally perform an “eyeball test” or the “end of the bed-o-gram” that encompasses additional intangible variables in order to determine a more accurate risk assessment ”.

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Authors and Affiliations

  1. Baylor Scott & White Health, Plano, TX, USA

    Michael Mack

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  1. Michael Mack
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Correspondence to Michael Mack .

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Editors and Affiliations

  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Mack, M. (2019). Frailty in Aortic Surgery. In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_15

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  • DOI: https://doi.org/10.1007/978-3-7091-4874-7_15

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  • Online ISBN: 978-3-7091-4874-7

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