Postoperative implications in the geriatric patient - American ...

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6 Preoperative visit • Review comorbilities and their current state • Assess functional, cognitive and nutritional status • Provide recommendations to prevent perioperative complications
Implications of complications • 30 day mortality for 60 vs. 80+ year olds – 1.1 vs. 3.7% if no complications – 15.1 vs. 26.1 if ≥1 complications Hamel M et al JAGS 2005;53:424 • Three month mortality in 70+ year olds (vs. non-surgical controls) Kawalpreet M et al A&A 2003;96:583 and 590 – 2.9 hazard ratio if no complications – 7.3 hazard ratio if ≥1 complications • If survive three months, complications minimally increase subsequent mortality • Diminished functional status/↑dependency compared to patients with no complications
Page 1 and 2: Postoperative care of the Geriatric
Page 3 and 4: Objectives • Review the impact of
Page 5: Age, comorbilities and Risk of Peri
Page 9 and 10: Age and Perioperative Complications
Page 11 and 12: Cardiovascular complications - Impo
Page 13 and 14: Pulmonary complications • Why are
Page 15 and 16: Pulmonary complications • Inappro
Page 17 and 18: Silverstein, Jeffrey, et al Central
Page 19 and 20: Main clinical features • Acute on
Page 21 and 22: Pathophysiology Mantz, Jean Case Sc
Page 23 and 24: Pathophysiology • γ-aminobutyric
Page 25 and 26: Impact of Delirium • Morbility -
Page 27 and 28: BMC’S Delirium free Passport •
Page 29 and 30: Management • Seek/treat cause - D
Page 31 and 32: Implications of POCD • Abrupt dec
Page 33 and 34: ISPOCD1 • POCD occurred in 26% of
Page 35 and 36: Conclusions • POCD - Common in al
Page 37 and 38: POCD • A systematic review on the
Page 39: 39 Conclusions • Surgery and Anes

Postoperative implications in the geriatric patient - American ...

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