Nearly 60% of the Dutch population undergoing surgery is aged 65 years and over. Older patients are at increased risk of developing perioperative complications (e.g., myocardial infarction, pneumonia, or delirium), which may lead to a prolonged hospital stay or death. Preoperative risk stratification calculates a patient's risk by evaluating the presence and extent of frailty, pathophysiological risk factors, type of surgery, and the results of (additional) testing. Type of anesthesia, fluid management, and pain management affect outcome of surgery. Recent developments focus on multimodal perioperative care of the older patient, using minimally invasive surgery, postoperative anesthesiology rounds, and early geriatric consultation.

Additional Metadata
Keywords Geriatrics, Health status, Perioperative procedures, Postoperative complications, Risk assessment
Persistent URL dx.doi.org/10.1007/s00391-011-0201-6, hdl.handle.net/1765/25570
Citation
Blommers, E, Klimek, M, Hartholt, K.A, van der Cammen, T.J.M, Klein, J, & Noordzij, P. (2011). Perioperative care of the older patient. Zeitschrift fur Gerontologie und Geriatrie, 44(3), 187–191. doi:10.1007/s00391-011-0201-6