Key result
Comprehensive pre-operative evaluation in geriatric patients, incorporating functional and cognitive assessments, is essential for improving perioperative outcomes.
Why the study?
With an aging population undergoing more surgical operations, comprehensive pre-operative evaluation in elderly patients is critical to improving perioperative outcomes and differs significantly from assessment in younger patients.
Comprehensive pre-operative evaluation in geriatric patients must include functional and cognitive assessments beyond standard cardiac risk evaluation to improve perioperative outcomes.
May guide enhanced geriatric pre-op protocols in cardiac care; leaves open prospective validation of outcome benefits.
The population of the United States, as well as developing countries like India, is rapidly ageing. Surgical operations are more common in the elderly than in younger age groups. A comprehensive pre-operative evaluation of these elderly patients is an important component of improving perioperative outcomes. It is very different from the pre-operative assessment in younger patients, which usually encompasses evaluating cardiac risk for non-cardiac surgery and single end-organ functional assessment. Functional and cognitive impairment are additional risk factors associated with poorer outcomes in older patients. Guidelines for pre-operative assessment of elderly surgical patients have been developed by the American College of Surgeons and the American Geriatrics Society.
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Sharma et al. (2022) conducted a review in Geriatric surgical patients. Comprehensive pre-operative evaluation was evaluated. Comprehensive pre-operative evaluation in geriatric patients, incorporating functional and cognitive assessments, is essential for improving perioperative outcomes.
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