Perioperative care of the older patient

E Blommers; M Klimek; K A Hartholt; T J M van der Cammen; J Klein; P G Noordzij

doi:10.1007/s00391-011-0201-6

Perioperative care of the older patient

E Blommers, M Klimek, K A Hartholt, T J M van der Cammen, J Klein, P G Noordzij^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.

Original language	English
Pages (from-to)	187-91
Number of pages	5
Journal	Zeitschrift fur Gerontologie und Geriatrie
Volume	44
Issue number	3
DOIs	https://doi.org/10.1007/s00391-011-0201-6
Publication status	Published - Jun 2011
Externally published	Yes

Keywords

Aged
Aged, 80 and over
Female
Humans
Male
Perioperative Care/methods
Postoperative Complications/prevention & control

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10.1007/s00391-011-0201-6

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abstract = "Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.",

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AU - Blommers, E

AU - Klimek, M

AU - Hartholt, K A

AU - van der Cammen, T J M

AU - Klein, J

AU - Noordzij, P G

PY - 2011/6

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N2 - Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.

AB - Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.

KW - Aged

KW - Aged, 80 and over

KW - Female

KW - Humans

KW - Male

KW - Perioperative Care/methods

KW - Postoperative Complications/prevention & control

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JO - Zeitschrift fur Gerontologie und Geriatrie

JF - Zeitschrift fur Gerontologie und Geriatrie

IS - 3

ER -

Perioperative care of the older patient

Abstract

Keywords

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