Perioperative Medicine for Older People-Reference-Cited by-同舟云学术

Perioperative Medicine for Older People

Published:2019-11-15 Issue:11 Volume:48 Page:376-381
ISSN:0304-4602
Container-title:Annals of the Academy of Medicine, Singapore
language:en
Short-container-title:Ann Acad Med Singap

Author:

Rogerson Andrew¹,Partridge Judith SL²,Dhesi Jugdeep K²

Affiliation:

1. Sengkang General Hospital, Singapore

2. Proactive Care of Older People Undergoing Surgery (POPS), Department of Ageing and Health, Guy’s and St Thomas’ NHS Foundation Trust, United Kingdom

Abstract

Global demographic changes have resulted in an older, frailer surgical population with significant multimorbidity causing higher frequency of adverse postoperative outcomes. The need for restructuring of perioperative care pathways to address this issue has been recognised. Comprehensive geriatric assessment (CGA) and optimisation are emerging as innovative perioperative pathways. This paper describes one centre’s approach in applying CGA in the surgical setting and presents the evidence in support of this. Similar models are being established in Singapore in hip fracture, colorectal and vascular populations. The challenges in the widespread adoption of such models of care are similar across settings. The global nature of translation is also discussed in this paper. Key words: Comprehensive geriatric assessment, Geriatrician-led multidisciplinary team, Optimisation

Publisher

Academy of Medicine, Singapore

Subject

General Medicine

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