title: Operative risk stratification in the older adult.
abstract: As the population ages, the health care system must to adapt to the needs of the older population. Hospitalization risks are particularly significant in the frail geriatric patients, with costly and morbid consequences. Appropriate preoperative assessment can identify sources of increased risk and enable the surgical team to manage this risk, through "prehabilitation," intraoperative modification, and postoperative care. Geriatric preoperative assessment expands usual risk stratification and careful medication review to include screening for functional disability, cognitive impairment, nutritional deficiency, and frailty. The information gathered can also equip the surgeon to develop a patient-centered and realistic treatment plan.
authors.affiliation: Department of Geriatric Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Karen G
authors.initials: KG
authors.lastname: Scandrett
authors.affiliation: VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Brian S
authors.initials: BS
authors.lastname: Zuckerbraun
authors.affiliation: Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: peitzmanab@upmc.edu.
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Peitzman
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002318:Cardiovascular Diseases / Q000175:diagnosis / Q000209:etiology; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000209:etiology; D008875:Middle Aged; D015596:Nutrition Assessment; D011300:Preoperative Care; D012140:Respiratory Tract Diseases / Q000175:diagnosis / Q000209:etiology; D018570:Risk Assessment; D012307:Risk Factors
keywords: Cognitive function; Frailty; Geriatric; Goals of care