Preoperative Assessment of Geriatric Surgical Patients
| Autor: | David Parés, Sara Sentí, Mauricio Parrales, Joan-Francesc Julián, Clara Gené, José Troya, Jaume Fernández-Llamazares |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Population MEDLINE Cochrane Library Risk Assessment 03 medical and health sciences Postoperative Complications 0302 clinical medicine Barthel scale medicine Humans education Geriatric Assessment Digestive System Surgical Procedures Aged education.field_of_study business.industry Guideline Test (assessment) Elective Surgical Procedures 030220 oncology & carcinogenesis Scale (social sciences) Life expectancy Physical therapy 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. |
| ISSN: | 1530-4515 |
| Popis: | Background Higher life expectancy in the general population entails a growing interest in the surgical management of diseases affecting elderly patients. Preoperative assessment when planning surgery needs to carefully evaluate physical and functional status of the patient. This review aims to describe the most commonly used scales in the evaluation of elderly patients scheduled for surgery and provides a useful tool to decide the scales that would be better to assess these specific patients. Methods According to the PRISMA statement of publications published, we have carried out a systematic review focused on elderly patients who underwent surgical procedures in General and Surgery. Using Medline, Embase, and Cochrane library, a systematic search of the literature from 1992 to 2018 was performed. This enabled us to retrieve information from the selected articles on scales to evaluate medical fitness, functional status, or both, in the elderly or frail patients. Results We reviewed 102 articles and selected the most frequently used assessment scales or indexes. After this extensive analysis, we selected 4 functional scales (Katz Index, Barthel Scale, Karnofsky Performance Score, and Vulnerable Elders Survey), 4 clinical scales (American Society of Anaesthesiologists Index, Charlson Comorbidity Index, Pfeiffer Test, and Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity Scale) and finally, 2 mixed scales (American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator and Edmonton Frail Scale). Conclusions No consensus on the use of a unified assessment scale for elderly patients exists. However, with this review, we provide a brief guideline about the most useful and used scales to perform a comprehensive assessment of geriatric patients undergoing surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|