Abstract
Nearly 60% of the Dutch population undergoing surgery is over the age of 65. The elderly are at higher risk of developing perioperative complications (e.g. myocardial infarction, pneumonia or delirium), that lead to a prolonged hospital stay or death. Preoperative risk stratification calculates the patient's risk by evaluating the presence and extent of frailty, and pathophysiological risk factors, type of surgery and the results of additional testing. The type of anaesthesia, fluid management and pain management strongly influences the outcome of surgery and the way this is experienced by the patient. Recent developments focus on multimodal perioperative care of the older patient to shorten hospital stay, using minimal invasive surgery, postoperative anaesthesiology rounds and early geriatric consultation.
| Translated title of the contribution | Perioperative care for the older patient |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 1513-157 |
| Number of pages | 5 |
| Journal | Nederlands Tijdschrift voor Geneeskunde |
| Volume | 152 |
| Issue number | 27 |
| Publication status | Published - 5 Jul 2008 |
| Externally published | Yes |
Keywords
- Age Factors
- Aged
- Aged, 80 and over
- Anesthesia/adverse effects
- Female
- Geriatrics
- Hospital Mortality
- Humans
- Length of Stay
- Male
- Perioperative Care/adverse effects
- Postoperative Complications/epidemiology
- Risk Factors
- Surgical Procedures, Operative/adverse effects