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The preoperative evaluation of the geriatric patient requires a thorough assessment of the patient’s overall health in addition to their cognitive and functional assessment. While risk stratification has historically focused on assessment of individual organ systems, the assessment of the geriatric patient requires a more comprehensive evaluation. In addition to evaluation of patient’s comorbid conditions, the presence of malnutrition, frailty, and cognitive dysfunction are all predictors of poor outcome following surgery. A thorough geriatric evaluation allows a more complete discussion with the patient and allows the prediction of mortality, functional recovery, and potential for return to home following discharge from the hospital. |
