Correlation between frailty status, surgical access, and outcomes in older adults with valvular heart disease undergoing cardiac surgery (opens in new tab)

Frailty is not routinely assessed nor incorporated into the Euroscore II, and evidence on minimally invasive cardiac surgery (MICS) in older frail adults remains limited. We evaluated whether frailty assessment improves the prognostic performance of the Euroscore II and whether MICS provides benefits in frail patients. Patients aged ≥70 years undergoing valve surgery were assessed for frailty preoperatively. The primary endpoint was the composite of all-cause death or cardiovascular hospitali...