Aging and Frailty in Cardiac Surgery

In recent years, biological age has emerged instead of chronological age as a concept that could explain the heterogeneity in outcomes seen in older patients after cardiac surgery and help identify older patients who would benefit from new intervention methods.
This review discusses the relationship between fraility concept and postoperative morbidity and mortality in cardiac surgery in elderly patients and the scoring systems in this regard and their utility in predicting postoperative outcomes in clinical practice.

Kalp cerrahisinde yaþ ve frailite

Son yýllarda, biyolojik yaþ kronolojik yaþ yerine, kalp cerrahisi sonrasý yaþlý hastalarda görülen sonuçlardaki heterojenliði açýklayabilecek ve yeni müdahale yöntemlerinden yararlanacak yaþlý hastalarý tanýmlamaya yardýmcý olabilecek bir kavram olarak ortaya çýkmaktadýr.
Bu derlemede, yaþlý hastalarda kardiyak cerrahide, frailite –kýrýlganlýk- kavramý ile postoperatif morbidite ve mortalite arasýndaki iliþki ve bu konudaki skorlama sistemleri ve bunlarýn klinik uygulamada postoperatif sonuçlarýn tahmin edilmesindeki faydasý tartýþýlmaktadýr.