New horizons in the perioperative care of older adults-Reference-Cited by-同舟云学术

New horizons in the perioperative care of older adults

Published:2022-02 Issue:2 Volume:51 Page:
ISSN:0002-0729
Container-title:Age and Ageing
language:en
Short-container-title:

Author:

Thillainadesan Janani¹²³,Hilmer Sarah N⁴,Fleury Aisling M⁵,Naganathan Vasi¹²³

Affiliation:

1. Department of Geriatric Medicine, Concord Hospital, Sydney, Australia

2. Faculty of Medicine and Health, Concord Clinical School, University of Sydney, Sydney, Australia

3. Centre for Education and Research on Ageing, and Ageing and Alzheimers Institute, Sydney, Australia

4. Department of Aged Care, Kolling Institute of Medical Research, Sydney Medical School, University of Sydney and Royal North Shore Hospital, Sydney, Australia

5. Perioperative Medicine Unit, Division of Surgery, Logan Hospital, Logan, Queensland, Australia

Abstract

Abstract Older adults undergoing surgery have high perioperative morbidity and mortality. Age-related physiological changes and prevalence of geriatric syndromes such as frailty increase the risk of adverse postoperative outcomes. Geriatricians utilise comprehensive geriatric assessment (CGA) and management to identify and manage geriatric syndromes, and deliver patient-centred perioperative care. Perioperative models of CGA are established for older patients undergoing hip fracture surgery. Recent trials support the benefits of perioperative models of CGA for non-orthopaedic surgery, and have influenced current care recommendations for older surgical patients. Areas for further action include addressing the implementation gap between recommended evidence-based perioperative care and routine perioperative care, evaluating the clinical and cost-effectiveness of perioperative models of CGA for patients living with frailty, and embedding routine use of patient-reported outcome measures to inform quality improvement.

Publisher

Oxford University Press (OUP)

Subject

Geriatrics and Gerontology,Aging,General Medicine

Link

https://academic.oup.com/ageing/article-pdf/51/2/afab245/42369468/afab245.pdf

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