The Frail Patient in a Fictitious Case Study

Bei Patienten mit Gebrechlichkeitssyndrom (Frailty) kann eine Prahabilitation vor Narkose und Operationen das Risiko von Komplikationen sowie das Outcome deutlich verbessern. Hierbei ist es wichtig, ein routinema ss iges Screening zu etablieren, um ein Gebrechlichkeitssyndrom im klinischen Alltag zu erfassen und Moglichkeiten fur eine Prahabilitation zu schaffen. Diese Zusammenhange sollen anhand eines fiktiven Fallbeispiels erlautert werden. Abstract Various limitations in everyday life can indicate a frailty syndrome. These limitations are not always directly visible and result from a wide variety of domains. Fried et al. described these limitations of different domains as frailty syndrome. This syndrome can be acutely worsened by different influencing factors. One major risk factor is an upcoming anesthesia and surgery. Frailty is associated with a significantly increased risk of peri- and postoperative complications. To avoid acute deterioration due to anesthesia and surgery, the concept of prehabilitation was developed. The aim is to specifically address the respective deficits and to develop an individual training concept together with the patient. Prehabilitation can significantly improve the risk of complications and the outcome of frail patients. In this context, it is important to establish routine screening in order to detect a frailty syndrome in everyday clinical practice and to create opportunities for prehabilitation.