COST-EFFECTIVE OF FRAILTY BASED PREOPERATIVE ASSESMENT IN PATIENT UNDERGOING CORONARY ARTERY BYPASS GRAFTING

Coronary artery bypass grafting (CABG) is one of the most frequently performed cardiac surgeries for the treatment of advanced coronary artery disease (CAD). Although percutaneous coronary intervention (PCI) has increasingly been used as an alternative revascularization strategy, CABG remains the preferred treatment for patients with complex multi-vessel disease. Frailty is a geriatric syndrome characterized by decreased physiological reserve and increased vulnerability to stressors such as surgery. The presence of frailty in patients undergoing cardiac surgery has been associated with poor postoperative outcomes including prolonged hospitalization, complications, functional decline, and increased mortality. Recently, frailty assessment tools have been incorporated into preoperative evaluation to guide clinical decision-making and optimize patient care. This review focuses on the cost-effectiveness of frailty assessment before CABG surgery. The article discusses current literature, study objectives, , and expected outcomes related to economic evaluation using decision-analytic models. The findings suggest that routine frailty screening prior to CABG may improve clinical outcomes while also being a cost-effective strategy for healthcare systems.