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Anesthesia and analgesia · Jan 2020
Delaying Elective Surgery in Geriatric Patients: An Opportunity for Preoperative Optimization.
- Serena P Wong, Kahli M Zietlow, Shelley R McDonald, Atilio Barbeito, Cathleen S Colon-Emeric, Sandhya A Lagoo-Deenadayalan, Nancy Loyack, and Mitchell T Heflin.
- From the *Department of Medicine, Duke University Medical Center, Durham, North Carolina †Geriatric Research, Education, and Clinical Center, Durham VA Medical Center, Durham, North Carolina Departments of ‡Anesthesia §Surgery, Duke University Medical Center, Durham VA Medical Center, Durham, North Carolina.
- Anesth. Analg. 2020 Jan 1; 130 (1): e14-e18.
AbstractDeciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe a cohort of geriatric patients who were evaluated in anticipation of elective abdominal surgery and whose procedures were delayed for any reason. Themes behind the reasons for delay are described, and a holistic framework to guide preoperative discussion is suggested.
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