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Geriatric Trauma and Critical Care pp 83–95Cite as

Operative Risk Stratification

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Abstract

The preoperative evaluation of the geriatric clearly presents unique challenges. Historically, risk stratification has focused on a single organ system. In the geriatric patient the combined effects of frailty, comorbidity, and disability contribute cumulatively to poor outcomes. Age, cognitive dysfunction, falls, malnutrition, and anemia are all markers for poor outcome in the geriatric patient. After completion of the geriatric workup, a complete picture of the patient’s overall health in all domains will be completed. The combined and cumulative effects of these markers provide a more powerful tool for the prediction of mortality, functional recovery, and institutionalization following surgery.

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Authors and Affiliations

  1. Department of Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street, PUH F1266.2, Pittsburgh, PA, 15203, USA

    Gary T. Marshall MD

  2. Department of Surgery, New York University, 550 First Avenue, 15 S 14, New York, NY, 10016, USA

    Gary T. Marshall MD

  3. Department of Surgery, University of Pittsburgh Medical Center, 200 Lothrop Street F-1281, UPMC-Presbyterian, Pittsburgh, PA, 15213, USA

    Andrew B. Peitzman MD

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Correspondence to Andrew B. Peitzman MD .

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  1. Department of Surgery, Lincoln Medical Center, Bronx, New York, USA

    Jay A. Yelon

  2. Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois, USA

    Fred A. Luchette

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Marshall, G.T., Peitzman, A.B. (2014). Operative Risk Stratification. In: Yelon, J., Luchette, F. (eds) Geriatric Trauma and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8501-8_10

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