frailty
Repairing the vascular surgery workforce: attract, recruit and retain
Vascular surgery manages diseases of the arteries, veins and lymphatics, and with a growing and more aged population, both the prevalence and frequency of intervention for vascular disease is increasing.1–3 Healthcare in general, and vascular surgery in particular, is experiencing acute on chronic workforce shortages which threaten the delivery of vascular services worldwide.3-5 Health systems…
Read MoreFrailty in peripheral arterial disease
Introduction It has been consistently demonstrated that frail vascular patients have poorer outcomes compared with their robust counterparts.1 Consideration of frailty is particularly important, not only as our population continues to age but as advances in anaesthetic, surgical and endovascular techniques are enabling a broader range of interventional options for those people who may have…
Read MoreAmbulatory vascular clinics provide a safe and effective pathway for management of chronic limb threatening ischaemia
Introduction The management of chronic limb threatening ischaemia (CLTI) has changed rapidly over recent years, both due to the newer technologies in the realm of endovascular surgery1 and the current model of centralising vascular services.2 The outcomes of lower limb revascularisation, however, remain fairly poor, with a recent randomised controlled trial showing a 33–37% mortality…
Read MoreThe role of Braden scores in predicting outcomes following revascularisation for chronic limb-threatening ischaemia and their association with frailty
Introduction Peripheral artery disease (PAD) poses a substantial healthcare burden worldwide as the third leading cause of atherosclerotic vascular morbidity.1 Chronic limb-threatening ischaemia (CLTI) induces rest pain and/or tissue loss and encompasses the end stage of PAD, developing in approximately 11% of PAD patients, and is associated with debilitating pain, poor quality of life, one-year…
Read MoreFrailty Assessment in UK Vascular Centres (FAVE): a survey to investigate data collection methods and impact on clinical practice
Introduction The importance of frailty as a clinical syndrome is gaining momentum in surgical specialties. Frailty is defined as ‘a state of vulnerability to a stressor event, triggering disproportionate changes in health status’.1 Increasing age may lead to the clinical condition of frailty.1 In the UK, three quarters of patients presenting with vascular disease are…
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