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Article: Peri‐operative optimisation of elderly and frail patients: a narrative review

TitlePeri‐operative optimisation of elderly and frail patients: a narrative review
Authors
Keywordsanaesthesia
elderly
frailty
geriatric
peri‐operative
Issue Date2019
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2044
Citation
Anaesthesia, 2019, v. 74 n. S1, p. 80-89 How to Cite?
AbstractWith increasing life expectancy and technological advancement, provision of anaesthesia for elderly patients has become a significant part of the overall case‐load. These patients are unique, not only because they are older with more propensity for comorbidity but a decline in physiological reserve and cognitive function invariably accompanies ageing; this can substantially impact peri‐operative outcome and quality of recovery. Furthermore, it is not only morbidity and mortality that matters; quality of life is also especially relevant in this vulnerable population. Comprehensive geriatric assessment is a patient‐centred and multidisciplinary approach to peri‐operative care. The assessment of frailty has a central role in the pre‐operative evaluation of the elderly. Other essential domains include optimisation of nutritional status, assessment of baseline cognitive function and proper approach to patient counselling and the decision‐making process. Anaesthetists should be proactive in multidisciplinary care to achieve better outcomes; they are integral to the process.
DescriptionLink to Free access
Persistent Identifierhttp://hdl.handle.net/10722/272820
ISSN
2017 Impact Factor: 5.431
2015 SCImago Journal Rankings: 1.404

 

DC FieldValueLanguage
dc.contributor.authorChan, SP-
dc.contributor.authorIp, KY-
dc.contributor.authorIrwin, MG-
dc.date.accessioned2019-08-06T09:17:10Z-
dc.date.available2019-08-06T09:17:10Z-
dc.date.issued2019-
dc.identifier.citationAnaesthesia, 2019, v. 74 n. S1, p. 80-89-
dc.identifier.issn0003-2409-
dc.identifier.urihttp://hdl.handle.net/10722/272820-
dc.descriptionLink to Free access-
dc.description.abstractWith increasing life expectancy and technological advancement, provision of anaesthesia for elderly patients has become a significant part of the overall case‐load. These patients are unique, not only because they are older with more propensity for comorbidity but a decline in physiological reserve and cognitive function invariably accompanies ageing; this can substantially impact peri‐operative outcome and quality of recovery. Furthermore, it is not only morbidity and mortality that matters; quality of life is also especially relevant in this vulnerable population. Comprehensive geriatric assessment is a patient‐centred and multidisciplinary approach to peri‐operative care. The assessment of frailty has a central role in the pre‐operative evaluation of the elderly. Other essential domains include optimisation of nutritional status, assessment of baseline cognitive function and proper approach to patient counselling and the decision‐making process. Anaesthetists should be proactive in multidisciplinary care to achieve better outcomes; they are integral to the process.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2044-
dc.relation.ispartofAnaesthesia-
dc.rightsThis is the peer reviewed version of the following article: [FULL CITE], which has been published in final form at [Link to final article using the DOI]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.-
dc.subjectanaesthesia-
dc.subjectelderly-
dc.subjectfrailty-
dc.subjectgeriatric-
dc.subjectperi‐operative-
dc.titlePeri‐operative optimisation of elderly and frail patients: a narrative review-
dc.typeArticle-
dc.identifier.emailIp, KY: ipky@hku.hk-
dc.identifier.emailIrwin, MG: mgirwin@hku.hk-
dc.identifier.authorityIrwin, MG=rp00390-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/anae.14512-
dc.identifier.pmid30604415-
dc.identifier.scopuseid_2-s2.0-85059477316-
dc.identifier.hkuros299991-
dc.identifier.volume74-
dc.identifier.issueS1-
dc.identifier.spage80-
dc.identifier.epage89-
dc.publisher.placeUnited Kingdom-

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