Preoperative assessment in older adults

Advanced social care and higher level of medical intervention in elderly allow to prolong life expectancy in seniors, and therefore the number of elderly patients has risen rapidly in last decades. Management of elderly patients examination before surgery is routinely organized by general practitioners and internists with an aim to facilitate the surgery team work; to help anesthesiologists focus mainly on strategy of anesthesia (without any other special examination) and surgeons to realize/accomplish effective and save surgery, including elective surgery procedures. Key issue is to summarize the level of risk for surgery and compare it to prediction of follow-up with respect of mortality and morbidity as well as function status after surgery. Special attention should be focused on frailty seniors, all items together including quality of life and life expectancy should be carefully analyzed. Correctly prepared pre-operative report remarkable improves prognosis in high risk seniors.