Published online Sep 16, 2024. doi: 10.12998/wjcc.v12.i26.5998
Revised: June 22, 2024
Accepted: July 10, 2024
Published online: September 16, 2024
Processing time: 172 Days and 1.8 Hours
Wang and Liu's systematic review of frailty among elderly patients undergoing percutaneous coronary intervention (PCI) revealed that patients with frailty have significantly higher risks of all-cause and in-hospital death, major undesirable cardiovascular events, and major haemorrhage. Frailty is associated with adverse events, prolonged hospital stays, increased complications, and elevated mortality risk due to diminished physiological reserves. Integrating frailty into risk assessment tools is crucial, and gait speed has emerged as a key predictor of frailty. Recognizing the impact of frailty leads to personalized and informed decision-making, and frailty assessments should be performed. This holistic approach can inform tailored interventions, thereby optimizing outcomes for this vulnerable population undergoing PCI.
Core Tip: Elderly frail patients undergoing percutaneous coronary intervention (PCI) have increased risks of mortality and adverse cardiovascular events. It is important to integrate frailty into risk assessment tools. Therefore, this study underscores the importance of comprehensive frailty evaluations to enable informed decision-making in PCIs. The findings suggest that tailored interventions should be implemented to optimize outcomes and enhance care quality for this vulnerable population.