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Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment.
Anesthesiol Clin. 2018 Dec; 36(4):599-614.AC

Abstract

As the population ages, more geriatric patients will be presenting for surgical procedures. Preoperative evaluation seeks to assess patients for geriatric syndromes: frailty, sarcopenia, functional dependence, and malnutrition. Age-related changes in physiology increase risk for central nervous system, cardiovascular, pulmonary, renal, hepatic, and endocrine morbidity and mortality. Identification of various comorbidities allows for preoperative optimization and for opportunities for intervention including nutritional supplementation and prehabilitation, which may improve postoperative outcomes.

Authors+Show Affiliations

Department of Anesthesia and Critical Care, University of Chicago, 5041 South Maryland Avenue, MC 4028, Chicago, IL 60637, USA. Electronic address: adalton@dacc.uchicago.edu.Section Critical Care, Department of Cardiovascular Surgery, Mount Sinai Hospital System, Icahn School of Medicine, Mount Sinai Medical Center, Box 1028, 1 Gustave L. Levy Place, New York, NY 10029, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

30390781

Citation

Dalton, Allison, and Zdravka Zafirova. "Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment." Anesthesiology Clinics, vol. 36, no. 4, 2018, pp. 599-614.
Dalton A, Zafirova Z. Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment. Anesthesiol Clin. 2018;36(4):599-614.
Dalton, A., & Zafirova, Z. (2018). Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment. Anesthesiology Clinics, 36(4), 599-614. https://doi.org/10.1016/j.anclin.2018.07.008
Dalton A, Zafirova Z. Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment. Anesthesiol Clin. 2018;36(4):599-614. PubMed PMID: 30390781.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment. AU - Dalton,Allison, AU - Zafirova,Zdravka, Y1 - 2018/10/12/ PY - 2018/11/5/entrez PY - 2018/11/6/pubmed PY - 2019/2/26/medline KW - Frailty KW - Geriatric KW - Preoperative evaluation KW - Sarcopenia KW - Surgery SP - 599 EP - 614 JF - Anesthesiology clinics JO - Anesthesiol Clin VL - 36 IS - 4 N2 - As the population ages, more geriatric patients will be presenting for surgical procedures. Preoperative evaluation seeks to assess patients for geriatric syndromes: frailty, sarcopenia, functional dependence, and malnutrition. Age-related changes in physiology increase risk for central nervous system, cardiovascular, pulmonary, renal, hepatic, and endocrine morbidity and mortality. Identification of various comorbidities allows for preoperative optimization and for opportunities for intervention including nutritional supplementation and prehabilitation, which may improve postoperative outcomes. SN - 1932-2275 UR - https://www.unboundmedicine.com/medline/citation/30390781/Preoperative_Management_of_the_Geriatric_Patient:_Frailty_and_Cognitive_Impairment_Assessment_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1932-2275(18)30075-2 DB - PRIME DP - Unbound Medicine ER -