Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients.


Journal Article

PURPOSE:The primary purpose of this project was to preoperatively identify frail and vulnerable geriatric patients aged 65 or older using the Vulnerable Elders Survey (VES-13) tool, and to use those scores to assist with perioperative decision-making. DESIGN:This feasibility study was implemented as a quality improvement initiative with a postimplementation group only. METHODS:The VES-13 was introduced to the perioperative nursing staff and anesthesia providers and then added to the traditional preoperative assessment. The VES-13 scores were correlated to hospital length of stay, postanesthesia care unit stay, altered mental status, and morbidity. FINDINGS:Increased identification of older adult surgical patients at risk for increased length of stay, altered mental status, and morbidity in the preoperative setting was not evident, although the VES-13 was effective in identifying functional deficits in the older adult surgical patient. CONCLUSIONS:A detailed and comprehensive preoperative assessment remains the most efficient way to identify frail geriatric surgical patients.

Full Text

Duke Authors

Cited Authors

  • Vernon, TL; Rice, AN; Titch, JF; Hill, BF; Muckler, VC

Published Date

  • October 2019

Published In

Volume / Issue

  • 34 / 5

Start / End Page

  • 911 - 918.e2

PubMed ID

  • 30910510

Pubmed Central ID

  • 30910510

Electronic International Standard Serial Number (EISSN)

  • 1532-8473

International Standard Serial Number (ISSN)

  • 1089-9472

Digital Object Identifier (DOI)

  • 10.1016/j.jopan.2019.01.004


  • eng