Why the study?
Older surgical patients face elevated risks of complications and prolonged recovery, requiring an integrated multidisciplinary approach that is currently rarely used.
Provides expert recommendations for an integrated multidisciplinary approach to perioperative care in frail older patients undergoing elective surgery.
Emphasizes need for tailored perioperative care in older surgical patients; leaves open targeted interventions for prospective study.
The population of older and oldest-old individuals is increasing at a rapid pace, leading to a notable proportion of this age group requiring surgical procedures due to multimorbidity. It is known that, compared with young people, patients over 60 have a whole set of factors, such as decreased physiological functions, the presence of several concomitant diseases, polypharmacy, cognitive dysfunction and specific geriatric syndromes, which may lead to a higher risk of postoperative complications and prolonged recovery. Therefore, an integrated multidisciplinary approach on management is necessary for this group of patients, but the use of such an approach is currently rare. The purpose of this document is to review the literature, summarize current recommendations, and provide a set of expert recommendations to assist practicing geriatricians, surgeons, anesthetists, and allied health professionals.
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Ткачева et al. (2024) studied this question.
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