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["FRAGILE"-Old people and surgery].

U Hestermann1, C Thomas, P Oster

  • 1Bethanien-Krankenhaus, Geriatrisches Zentrum am Klinikum der Universität Heidelberg. uhestermann@bethanien-heidelberg.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|November 20, 2004
PubMed
Summary

The number of older patients undergoing surgery is increasing, leading to more perioperative complications like postoperative delirium. Geriatric assessment helps identify at-risk patients and tailor treatments for better surgical outcomes in the elderly.

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Area of Science:

  • Geriatric Medicine
  • Surgical Care
  • Anesthesiology

Context:

  • Increasing life expectancy and advancements in surgical and intensive care techniques contribute to a growing population of elderly patients requiring surgical intervention.
  • This demographic shift presents unique challenges in surgical indication and management of perioperative complications.
  • Postoperative delirium is a significant concern in this patient group.

Purpose:

  • To highlight the importance of geriatric assessment in identifying surgical patients at risk of complications.
  • To describe the postoperative trajectory of functional and cognitive abilities in elderly patients.
  • To outline strategies for individualizing therapeutic approaches in geriatric surgical care.

Summary:

  • Geriatric assessment is crucial for proactive risk identification and management in elderly surgical patients.

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  • The abstract details key instruments used in geriatric assessment.
  • It provides an in-depth discussion of postoperative delirium, including its risk factors, prevalence, diagnosis, and treatment options.

    • Impact:

    • Improved identification of at-risk elderly surgical patients.
    • Enhanced understanding of functional and cognitive changes post-surgery in older adults.
    • Optimized therapeutic strategies for managing postoperative delirium and improving patient outcomes.