Preoperative Screening

• Autores: Julianna G. Marwell, Mitchell T. Heflin, Shelley R. McDonald
• Localización: Clinics in geriatric medicine, ISSN 0749-0690, Vol. 34, Nº. 1, 2018, págs. 95-105
• Idioma: inglés
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• Resumen

  • Older adults undergoing elective surgical procedures suffer higher rates of morbidity and mortality than younger patients. A geriatric-focused preoperative evaluation can identify risk factors for complications and opportunities for health optimization and care coordination. Key components of a geriatric preoperative evaluation include (1) assessments of function, mobility, cognition, and mental health; (2) reviews of medical conditions and medications; and (3) discussion of risks, preferences, and goals of care. A geriatric-focused, team-based approach can improve surgical outcomes and patient experience.