Ouderen met een aneurysma van de abdominale aorta

Translated title of the contribution: Elderly patients with an abdominal aortic aneurysm; preoperative frailty-screening and a multidisciplinary approach

R M Smoor, R H J Kropman, H P A van Dongen, G A de Boer, J Wille, P G Noordzij

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aneurysm of the abdominal aorta is common and can be treated with endovascular repair, open surgical repair or conservative treatment. Risk-stratification and treatment decision-making can be complex in frail patients and depends largely on anatomy, life-expectancy and functional capacity. Currently, risk-stratification in the Netherlands is primarily based on comorbidities and age. Insight in a patient's resilience could provide important additional information. For this reason, St. Antonius hospital has implemented an Anaesthesia Geriatric Evaluation (AGE) to screen for frailty in high risk vascular surgery patients. Results of frailty-screening are discussed in a multi-disciplinary team (MDT) to assess perioperative risk and compose a personal treatment plan. This paper presents a case-series of three patients to illustrate the additional value of MDT care and frailty-screening in a high-risk vascular surgery population.

Translated title of the contributionElderly patients with an abdominal aortic aneurysm; preoperative frailty-screening and a multidisciplinary approach
Original languageDutch
JournalNederlands Tijdschrift voor Geneeskunde
Volume164
Publication statusPublished - 4 May 2020
Externally publishedYes

Keywords

  • Aged
  • Aortic Aneurysm, Abdominal/complications
  • Frailty/complications
  • Geriatric Assessment
  • Humans
  • Patient Care Team
  • Preoperative Care
  • Risk Assessment
  • Risk Factors
  • Vascular Surgical Procedures

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