Simple preoperative frailty screening may identify older people with increased needs for discharge planning post surgery

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Commentary on: Sokas CM, Cowan J, Dalton MK, et al. Association Between Patient-Reported Frailty and Non-Home Discharge Among Older Adults Undergoing Surgery. J Am Geriatr Soc 00:1-5, 2020.

Implications for practice and research

  • Results highlight the potential for use of items from the FRAIL tool to screen older people prior to surgery to identify increased needs for discharge planning and predict the likelihood of not being discharged home.

  • Further investigation of the use of items from the FRAIL screening tool in the preoperative assessment of older patients is warranted to identify the ability to predict post surgery discharge outcomes.

Context

Almost half of older adults need postacute care or rehabilitation following surgery1 and delays in discharge to home or other facilities are common, with implications for patient recovery as well as …

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