Perioperative management of elderly patients

Surg Clin North Am. 2015 Apr;95(2):391-415. doi: 10.1016/j.suc.2014.12.001. Epub 2015 Jan 21.

Abstract

The older population only represents 13.7% of the US population but has grown by 21% since 2002. The centenarian population is growing at a faster rate than the total US population. This unprecedented growth has significantly increased surgical demand. The establishment of quality and performance improvement data has allowed researchers to focus attention on the older patient population, resulting in an exponential increase in studies. Although there is still much work to be done in this field, overlying themes regarding the perioperative management of elderly patients are presented in this article based on a thorough literature review.

Keywords: Elderly; Frailty; Geriatric; Perioperative management; Postoperative care; Preoperative care; Surgery.

Publication types

  • Review

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Analgesics / pharmacokinetics
  • Anesthetics / pharmacokinetics
  • Cognition Disorders / diagnosis
  • Cognition Disorders / etiology
  • Cognition Disorders / therapy
  • Geriatric Assessment
  • Humans
  • Perioperative Care*
  • Risk Assessment

Substances

  • Analgesics
  • Anesthetics