Preoperative Screening

Clin Geriatr Med. 2018 Feb;34(1):95-105. doi: 10.1016/j.cger.2017.08.004. Epub 2017 Oct 18.

Abstract

Older adults undergoing elective surgical procedures suffer higher rates of morbidity and mortality than younger patients. A geriatric-focused preoperative evaluation can identify risk factors for complications and opportunities for health optimization and care coordination. Key components of a geriatric preoperative evaluation include (1) assessments of function, mobility, cognition, and mental health; (2) reviews of medical conditions and medications; and (3) discussion of risks, preferences, and goals of care. A geriatric-focused, team-based approach can improve surgical outcomes and patient experience.

Keywords: Function; Morbidity and mortality; Preoperative evaluation.

Publication types

  • Review
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Aged
  • Elective Surgical Procedures* / adverse effects
  • Elective Surgical Procedures* / methods
  • Geriatric Assessment / methods*
  • Humans
  • Postoperative Complications / prevention & control*
  • Preoperative Care / methods
  • Risk Assessment / methods*