Yeungnam Univ J Med.  2020 Oct;37(4):296-301. 10.12701/yujm.2020.00752.

Frailty and elderly in urology: implications for postoperative complications

• Song PH

• KMID: 2508174
• DOI: http://doi.org/10.12701/yujm.2020.00752

Abstract

The geriatric population is at a greater risk of postoperative complications than young adults. This risk is associated with the physiologic decline seen in this population known as frailty. Unlike fitter patients, frail patients who undergo operative treatment have a greater likelihood of developing postoperative complications and endure prolonged hospital stays. This circumstance is comparable to the urological status. Therefore, tolerable measurement of frailty as a domain of preoperative health status has been suggested to ascertain vulnerability in elderly patients. In this review, we will elaborate on the concept of frailty and examine its importance with respect to surgical complications, focusing on the urological status.

Keyword

Complications; Frailty; Postoperative; Urology

Figure

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  Fig. 1. Model for defining frailty. Fit patients have robust adaptive capacity and resilience to stressors, which lead to more favorable outcomes. Pre-frail patients have weakened adaptive capacity and resilience to stressors, and frail patients have poor adaptive capacity and resilience to stressors. Adapted from Ethun et al. [9] with permission of Wiley.

Reference

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