Preoperative Evaluation of the Frail Patient
| Autor: | Esther S. Oh, April L. Ehrlich, Frederick E. Sieber, Lolita S. Nidadavolu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Frail Elderly Psychological intervention MEDLINE Physical function Risk Assessment Article law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Randomized controlled trial Risk Factors 030202 anesthesiology law Preoperative Care medicine Humans Intensive care medicine Geriatric Assessment Aged Frailty business.industry Stressor Cognition Length of Stay Patient Discharge United States Frailty assessment Anesthesiology and Pain Medicine Cognition Disorders Risk assessment business 030217 neurology & neurosurgery |
| Zdroj: | Anesth Analg |
| ISSN: | 0003-2999 |
| Popis: | Perioperative management of older adults is a complex field that is heavily influenced by the clinical heterogeneity of older adults. Frailty-a geriatric syndrome in which a patient is more vulnerable to stressors due to decreases in physical function and reserve-has been indicative of adverse postoperative outcomes. Many tools have been developed to measure frailty that incorporate a variety of factors including physical and cognitive function, comorbidities, self-reported measures of health, and clinical judgment. Most of these frailty assessment tools are able to identify a subset of patients at risk of adverse outcomes including postoperative complications, longer hospital length of stay, discharge to a higher level of care, and mortality. Frailty assessment before surgical interventions can also guide discussions among patients, their families, anesthesiologists, and surgeons to tailor operative plans for patients to mitigate this increased risk. Studies are ongoing to identify interventions in frail patients that can improve postoperative outcomes, but high-quality data in the form of randomized controlled trials are lacking at this time. |
| Databáze: | OpenAIRE |
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