This review highlights the importance of monitoring long-term functional outcomes, cognitive changes, frailty, and hemodynamic alterations in elderly surgical patients.
Warrants closer monitoring of frailty and cognition in elderly surgical patients; leaves open prospective trials of targeted interventions.
Anesthesia has developed to the point where long-term outcomes are important endpoints. Elderly patients are becoming an increasingly large part of most surgical practices, consistent with demographic shifts. Long-term outcomes are particularly important for this group. In this review, we discuss functional outcomes in the elderly. We describe the areas of cognitive change and frailty, both of which are specific to the elderly. We also discuss prevention of surgical infections and emerging evidence around hemodynamic alterations in the operating room and their impact on long-term outcomes.
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Deiner et al. (2012) studied this question.
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