Table 2 Potential management or treatment for frailty and sarcopenia.
Category | Subcategory | Potential management or treatment for frailty and sarcopenia | References |
---|---|---|---|
Exercise | Cardiac rehabilitation | Perioperative CR may improve postoperative physical mobility, functional capacity, fall prevention, and disability prevention. | 73), 80), 81) |
Nutrition | Nutrition management | Patients with vascular diseases have malnutrition or hypoalbuminemia, which results in poor postoperative clinical outcomes. Therefore, perioperative aggressive nutritional management is mandatory to improve clinical outcomes. | 75), 76), 77), 78), 79), 80), 81) |
Amino acids | Supplementation with amino acids achieves a better body composition and physical activity in elderly patients with frailty or sarcopenia. | 82) | |
Medication | Vitamin D | Vitamin D has the potential not only to prevent falls, but also to increase muscle strength. | 84), 85) |
Carnitine | L-carnitine supplementation for frail patients alters their functional status and attenuates fatigue. | 89) | |
Surgery | EVT | EVT by a minimally invasive approach prevents declines in postoperative ADL. | 92) |
Hybrid approach | A hybrid approach by combined open surgery and EVT may be useful for high-risk cohorts complicated by vascular disease or with extended vascular disease. | 90), 91), 92), 93) | |
Vascular team approach | Vascular team | Multidisciplinary care for chronic CLI involving vascular, plastic, and podiatric surgeons improved amputation-free survival. A vascular team approach has the potential to enhance quality of care, improve clinical outcomes, and reduce costs. | 95), 96), 97) |
Vascular nursing | Vascular nursing may provide comprehensive and optimal care, and achieve better postoperative outcomes. | 98) |
EVT: endovascular therapy; CR: cardiac rehabilitation; ADL: activity of daily living; CLI: critical limb ischemia