Frailty predicts need for medical review but not degree of organ support after complex orthopaedic surgery

Based on expert opinion and case note review, the UK National Confidential Enquiry into Peri-operative Outcome has recommended provision of perioperative level 2 and 3 care to support major surgery in older people, and particularly those with comorbidity [1]. We wished to identify whether we could predict if the need was uniform and whether any factors could predict the degree of organ supports needed.