• Surg. Clin. North Am. · Feb 2015

    Review

    Operative risk stratification in the older adult.

    • Karen G Scandrett, Brian S Zuckerbraun, and Andrew B Peitzman.
    • Department of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
    • Surg. Clin. North Am. 2015 Feb 1;95(1):149-72.

    AbstractAs the population ages, the health care system must to adapt to the needs of the older population. Hospitalization risks are particularly significant in the frail geriatric patients, with costly and morbid consequences. Appropriate preoperative assessment can identify sources of increased risk and enable the surgical team to manage this risk, through "prehabilitation," intraoperative modification, and postoperative care. Geriatric preoperative assessment expands usual risk stratification and careful medication review to include screening for functional disability, cognitive impairment, nutritional deficiency, and frailty. The information gathered can also equip the surgeon to develop a patient-centered and realistic treatment plan.Copyright © 2015 Elsevier Inc. All rights reserved.

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