Optimal Preoperative Evaluation and Perioperative Care of the Geriatric Patient. A Surgeon's Perspective.

Susan E. Wozniak, Jo Ann Coleman, Mark R. Katlic

Research output: Contribution to journalReview article

Abstract

The elderly preoperative patient benefits from an assessment that includes more than a routine physical examination and electrocardiogram. Such an assessment includes domains likely to affect the elderly: cognition, functionality, frailty, polypharmacy, nutrition, and social support. This fosters decisions based on functional age rather than chronologic age and on each patient as an individual. One such assessment is that promulgated by the American College of Surgeons National Surgery Quality Improvement Program/American Geriatrics Society Best Practice Guidelines. We should not miss any opportunity to improve results in this growing population of surgical patients.

Original languageEnglish (US)
Pages (from-to)481-489
Number of pages9
JournalAnesthesiology clinics
Volume33
Issue number3
DOIs
StatePublished - Sep 1 2015
Externally publishedYes

Keywords

  • Cognition
  • Elderly
  • Frailty
  • Geriatric
  • Preoperative
  • Screening

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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