Preoperative Assessment of Geriatric Patients

Anesthesiol Clin. 2016 Mar;34(1):171-83. doi: 10.1016/j.anclin.2015.10.013.

Abstract

Geriatric patients are over-represented in hospitalizations, surgeries, and perioperative complications. Special consideration is required for this patient group in the perioperative period because of the prevalence of comorbid diseases, functional impairments, and other deficits. A comprehensive preoperative evaluation strategy is recommended to identify and address these issues. Systematic, multidomain assessments should be performed and paired with risk reduction efforts. A shared understanding of patient function and long-term health goals is also important for providing patient-centered care of the geriatric surgical patient.

Keywords: Delirium; Elderly; Frailty; Functional status; Geriatric; Nutrition; Preoperative; Surgery.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Delirium / psychology
  • Geriatric Assessment / methods*
  • Humans
  • Postoperative Complications / prevention & control
  • Postoperative Complications / psychology
  • Preoperative Period
  • Risk Assessment / methods*