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- Publisher Website: 10.1111/anae.14512
- Scopus: eid_2-s2.0-85059477316
- PMID: 30604415
- WOS: WOS:000454713100011
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Article: Peri‐operative optimisation of elderly and frail patients: a narrative review
Title | Peri‐operative optimisation of elderly and frail patients: a narrative review |
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Authors | |
Keywords | Anaesthesia Elderly Frailty Geriatric Peri‐operative Surgery |
Issue Date | 2019 |
Publisher | Wiley-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. suppl. 1, p. 80-89 How to Cite? |
Abstract | With 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. |
Persistent Identifier | http://hdl.handle.net/10722/272820 |
ISSN | 2023 Impact Factor: 7.5 2023 SCImago Journal Rankings: 2.400 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, SP | - |
dc.contributor.author | Ip, KY | - |
dc.contributor.author | Irwin, MG | - |
dc.date.accessioned | 2019-08-06T09:17:10Z | - |
dc.date.available | 2019-08-06T09:17:10Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | Anaesthesia, 2019, v. 74 n. suppl. 1, p. 80-89 | - |
dc.identifier.issn | 0003-2409 | - |
dc.identifier.uri | http://hdl.handle.net/10722/272820 | - |
dc.description.abstract | With 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.language | eng | - |
dc.publisher | Wiley-Blackwell Publishing Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2044 | - |
dc.relation.ispartof | Anaesthesia | - |
dc.subject | Anaesthesia | - |
dc.subject | Elderly | - |
dc.subject | Frailty | - |
dc.subject | Geriatric | - |
dc.subject | Peri‐operative | - |
dc.subject | Surgery | - |
dc.title | Peri‐operative optimisation of elderly and frail patients: a narrative review | - |
dc.type | Article | - |
dc.identifier.email | Ip, KY: ipky@hku.hk | - |
dc.identifier.email | Irwin, MG: mgirwin@hku.hk | - |
dc.identifier.authority | Irwin, MG=rp00390 | - |
dc.description.nature | link_to_OA_fulltext | - |
dc.identifier.doi | 10.1111/anae.14512 | - |
dc.identifier.pmid | 30604415 | - |
dc.identifier.scopus | eid_2-s2.0-85059477316 | - |
dc.identifier.hkuros | 299991 | - |
dc.identifier.hkuros | 318910 | - |
dc.identifier.volume | 74 | - |
dc.identifier.issue | suppl. 1 | - |
dc.identifier.spage | 80 | - |
dc.identifier.epage | 89 | - |
dc.identifier.isi | WOS:000454713100011 | - |
dc.publisher.place | United Kingdom | - |
dc.identifier.issnl | 0003-2409 | - |