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Operative management improves survival among frail patients.

An observational study of 49,169 patients revealed that operative management resulted in lower mortality rates overall (1.3% vs 2.5%, p<0.0001) and among most frailty categories, although not for the very frail (8.1% vs 12.1%, p=0.1). Furthermore, those undergoing surgery experienced more hospital-free days, especially notable in the very frail group. However, recovery was longer for frail patients, suggesting nonoperative management could be preferable for those severely frail presenting with certain conditions.

Journal Article by Mosher E, Nassereldine H (…) Hall DE et 24 al. in Ann Surg

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