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Perioperative Care of Elderly Patients

  • Sabeena SetiaEmail author
  • Mehraneh Khalighi
  • George Alec Rooke
Chapter

Abstract

Aging is associated with a loss of physiologic reserve and often a consequent increase in perioperative risk. However, not all patients tolerate aging in the same way, and the effect of comorbidities is more pronounced with increasing age. Despite major advances in surgical and anesthesia techniques, elderly patients continue to shoulder the burden of complications, longer hospital stays, and institutionalization after surgery. As we care for more surgical patients over the age of 65, we need to identify those at highest risk for perioperative complications. Research in the field of geriatrics and surgery continues to demonstrate that the concept of frailty can be a very useful tool in risk stratification. The challenge remains in selecting a tool that is easy to use, is reproducible, and can be measured over time. We propose that the FRAIL scale be adopted as part of the perioperative assessment in patients over the age of 65.

Keywords

Elderly Perioperative Preoperative Frailty Frail scale Fried criteria 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Sabeena Setia
    • 1
    Email author
  • Mehraneh Khalighi
    • 1
  • George Alec Rooke
    • 2
  1. 1.Department of Medicine, Division of General Internal MedicineUniversity of WashingtonSeattleUSA
  2. 2.Department of AnesthesiologyUniversity of WashingtonSeattleUSA

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