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Patient frailty: the elephant in the operating room

Overview of attention for article published in Anaesthesia, December 2013
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (90th percentile)
  • High Attention Score compared to outputs of the same age and source (91st percentile)

Mentioned by

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21 X users

Citations

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103 Dimensions

Readers on

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216 Mendeley
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1 CiteULike
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Title
Patient frailty: the elephant in the operating room
Published in
Anaesthesia, December 2013
DOI 10.1111/anae.12490
Pubmed ID
Authors

R. E. Hubbard, D. A. Story

Abstract

For most surgeons and many anaesthetists, patient frailty is currently the 'elephant in the (operating) room': it is easy to spot, but is often ignored. In this paper, we discuss different approaches to the measurement of frailty and review the evidence regarding the effect of frailty on peri-operative outcomes. We explore the limitations of 'eyeballing' patients to quantify frailty, and consider why the frail older patient, challenged by seemingly minor insults in the postoperative period, may suffer falls or delirium. Frailty represents a state of increased vulnerability to stressors, and older inpatients are exposed to multiple stressors in the peri-operative setting. Quantifying frailty is likely to increase the precision of peri-operative risk assessment. The Frailty Index derived from Comprehensive Geriatric Assessment is a simple and robust way to quantify frailty, but is yet to be systematically investigated in the pre-operative setting. Furthermore, the optimal care for frail patients and the reversibility of frailty with prehabilitation are fertile areas for future research.

X Demographics

X Demographics

The data shown below were collected from the profiles of 21 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 216 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 2 <1%
United States 2 <1%
Colombia 1 <1%
Netherlands 1 <1%
South Africa 1 <1%
Portugal 1 <1%
Spain 1 <1%
Canada 1 <1%
Unknown 206 95%

Demographic breakdown

Readers by professional status Count As %
Researcher 40 19%
Student > Master 30 14%
Student > Doctoral Student 22 10%
Student > Ph. D. Student 21 10%
Other 15 7%
Other 53 25%
Unknown 35 16%
Readers by discipline Count As %
Medicine and Dentistry 136 63%
Nursing and Health Professions 13 6%
Agricultural and Biological Sciences 4 2%
Social Sciences 4 2%
Unspecified 3 1%
Other 11 5%
Unknown 45 21%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 13. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 May 2015.
All research outputs
#2,897,404
of 25,782,917 outputs
Outputs from Anaesthesia
#1,679
of 5,158 outputs
Outputs of similar age
#31,813
of 322,371 outputs
Outputs of similar age from Anaesthesia
#4
of 47 outputs
Altmetric has tracked 25,782,917 research outputs across all sources so far. Compared to these this one has done well and is in the 88th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 5,158 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 21.9. This one has gotten more attention than average, scoring higher than 67% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 322,371 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 90% of its contemporaries.
We're also able to compare this research output to 47 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 91% of its contemporaries.