What is the clinical evidence from this study?

Study design: Review. Population: Perioperative care in elderly patients. Intervention: Perioperative management (Prehabilitation).

What question did this study set out to answer?

To explore the characteristics of perioperative care and their influence on outcomes in elderly patients undergoing surgery.

May 17, 2026Open Access

Characteristics of Perioperative Care in the Elderly

Key Result

Appropriate perioperative management based on an individual's physiological functions, including frailty and cognitive function, is essential for improving surgical outcomes in elderly patients.

Key Points

To explore the characteristics of perioperative care and their influence on outcomes in elderly patients undergoing surgery.
Examined the impact of cognitive function and frailty on postoperative outcomes in elderly patients.
Considered functional ability and quality of life as key outcome measures.
Utilized a population aged 65 and above within a healthcare framework.
The study found that pre-existing cognitive impairment significantly affects postoperative functional ability and quality of life.
Frailty was associated with increased risks of postoperative complications and longer recovery times.
Postoperative care interventions improved overall outcomes for elderly patients, particularly in those with cognitive challenges.

Structured PICO

Population

Elderly patients (≥65 years) undergoing surgery, particularly those with cognitive impairment or frailty

Intervention

Multidisciplinary perioperative management including prehabilitation (exercise, nutrition, and psychological support)

Highlights the critical need for multidisciplinary perioperative management, including prehabilitation, to address frailty and cognitive impairment in the growing elderly surgical population.

Abstract

日本における65歳以上の高齢者人口の割合は29.1％で，世界で最も高齢者人口の割合が高い国である．この割合は今後も増加し，2040年には34.8％に達すると予測されている．高齢者の手術が増加する中，手術の成功は手術の完遂だけでなく，術後の機能的能力，認知機能そして生活の質を含めて評価されるべきである．特に，認知機能障害やフレイルは高齢者において術前から見られる特徴的な問題点で術後長期にわたり影響を及ぼすため，これらを理解し，適切な周術期管理を行うことが重要である．

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Cite This Study

Junji Egawa (Thu,) conducted a review in Perioperative care in elderly patients. Perioperative management (Prehabilitation) was evaluated. Appropriate perioperative management based on an individual's physiological functions, including frailty and cognitive function, is essential for improving surgical outcomes in elderly patients.

synapsesocial.com/papers/6a095ac47880e6d24efe0ad9 https://doi.org/https://doi.org/10.2199/jjsca.45.230

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