• Eur. J. Intern. Med. · Sep 2012

    Review

    Preoperative geriatric assessment: comprehensive, multidisciplinary and proactive.

    • Sheilesh Kumar Dewan, Song Bai Zheng, and Shi Jin Xia.
    • Department of Geriatric Medicine, Huadong Hospital affiliated to Fudan University, 221 West Yan'An Road, Shanghai 200040, China. sheilesh_d1@hotmail.com
    • Eur. J. Intern. Med. 2012 Sep 1;23(6):487-94.

    AbstractWith the changing global demographic pattern, our health care systems increasingly have to deal with a greater number of elderly patients, which consequently also takes its toll on our surgical services. The elderly are not simply older adults. They represent a heterogeneous branch of the population with specific physiological, psychological, functional and social issues that require individualised attention prior to surgery. Increased acknowledgement that chronological age alone is not an exclusion criterion, along with advances in surgical and anaesthetic techniques have today lead to decreased reluctance to deny the elderly surgical treatment. In order to ensure a safe perioperative period, we believe that a comprehensive, multidisciplinary and proactive preoperative assessment will be helpful to detect the multiple risk factors and comorbidities common in older patients, to assess functional status and simultaneously allow room for early preoperative interventions and planning of the intra- and postoperative period. In this review we outline the currently available preoperative geriatric risk assessment tools and provide an insight on how a comprehensive, multidisciplinary and proactive approach can help improve perioperative outcome.Copyright © 2012 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.

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