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Preoperative Risk Stratification and Methods to Reduce Risk

  • Chapter
Geriatric Anesthesiology

Abstract

Aging increases the likelihood that a patient will have an operative procedure. Approximately 12% of those aged 45 to 60 years are operated on each year, and this number will increase to more than 21 % by the year 2025.1 Whereas operations performed on patients older than 50 years of age were contraindicated in the past, an increasingly larger number of elderly patients are undergoing surgery at present. Studies of perioperative outcomes in the elderly have shown a decline in perioperative mortality rate from 20% in the 1960s2 to 10% in the 1970s3 to 5%-8% in the 1980s.4 These relatively low mortality rates have been attributed to improvement in anesthetic and surgical care.5 As a result, many patients, including those who are elderly, do quite well after surgery and have improved quality of life as a result of their surgery.

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA

    Linda L. Liu MD (Associate Professor) & Jacqueline M. Leung MD, MPH (Professor)

Authors
  1. Linda L. Liu MD
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  2. Jacqueline M. Leung MD, MPH
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Editor information

Editors and Affiliations

  1. Department of Anesthesiology, Surgery, and Geriatrics and Adult Development , Mount Sinai School of Medicine, New York, NY, USA

    Jeffrey H. Silverstein MD (Professor, Vice Chairman for Research, Associate Dean for Research) (Professor, Vice Chairman for Research, Associate Dean for Research)

  2. Department of Anesthesiology, University of Washington and the Veterans Affairs Puget Sound Health Care System, Seattle, WA

    G. Alec Rooke MD, PhD (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine) (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine)

  3. Harvard Medical School Beth Israel Deaconess Medical Center, Boston, MA, USA

    G. Alec Rooke MD, PhD (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine) (Professor and Visiting Professor of Anesthesia, Critical Care, and Pain Medicine)

  4. College of Medicine Department of Anesthesiology/College of Medicine, Medical University of South Carolina, Charleston, SC, USA

    J. G. Reves MD (Vice President for Medical Affairs, Dean) (Vice President for Medical Affairs, Dean)

  5. Salt Lake City, UT, USA

    Charles H. McLeskey MD

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Liu, L.L., Leung, J.M. (2008). Preoperative Risk Stratification and Methods to Reduce Risk. In: Silverstein, J.H., Rooke, G.A., Reves, J.G., McLeskey, C.H. (eds) Geriatric Anesthesiology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72527-7_13

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  • DOI: https://doi.org/10.1007/978-0-387-72527-7_13

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