TY - JOUR
T1 - Preventing Postoperative Complications in the Elderly
AU - Sieber, Frederick E.
AU - Barnett, Sheila Ryan
N1 - Funding Information:
This work was partly supported by the NIA grant R01-AG033615 from the National Institutes of Health .
PY - 2011/3
Y1 - 2011/3
N2 - Postoperative complications are directly related to poor surgical outcomes in the elderly. This review outlines evidence based quality initiatives focused on decreasing neurologic, cardiac, and pulmonary complications in the elderly surgical patient. Important anesthesia quality initiatives for prevention of delirium, the most common neurologic complication in elderly surgical patients, are outlined. There are few age-specific quality measures aimed at prevention of cardiac and pulmonary complications. However, some recommendations for adults can be applied to the geriatric surgical population. In the future, process measures may provide a more global assessment of quality in the elderly surgical population.
AB - Postoperative complications are directly related to poor surgical outcomes in the elderly. This review outlines evidence based quality initiatives focused on decreasing neurologic, cardiac, and pulmonary complications in the elderly surgical patient. Important anesthesia quality initiatives for prevention of delirium, the most common neurologic complication in elderly surgical patients, are outlined. There are few age-specific quality measures aimed at prevention of cardiac and pulmonary complications. However, some recommendations for adults can be applied to the geriatric surgical population. In the future, process measures may provide a more global assessment of quality in the elderly surgical population.
KW - Aged
KW - Delirium
KW - Geriatric
KW - Postoperative complications
KW - Quality assurance
KW - Surgery
KW - Surgical procedures/Adverse effects
UR - http://www.scopus.com/inward/record.url?scp=79551555385&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79551555385&partnerID=8YFLogxK
U2 - 10.1016/j.anclin.2010.11.011
DO - 10.1016/j.anclin.2010.11.011
M3 - Review article
C2 - 21295754
AN - SCOPUS:79551555385
SN - 1932-2275
VL - 29
SP - 83
EP - 97
JO - Anesthesiology clinics
JF - Anesthesiology clinics
IS - 1
ER -