Perioperative care of the geriatric patient for noncardiac surgery
Adults age 65 and over are the fastest growing segment of the population in the United States and around the world. As the size of this population expands, the number of older adults referred for surgical procedures will continue to increase. Due to the physiologic changes of aging and the increased...
Gespeichert in:
| Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 2020-02, Vol.43 (2), p.127-136 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 136 |
|---|---|
| container_issue | 2 |
| container_start_page | 127 |
| container_title | Clinical cardiology (Mahwah, N.J.) |
| container_volume | 43 |
| creator | Wolfe, Jonathan D. Wolfe, Natasha K. Rich, Michael W. |
| description | Adults age 65 and over are the fastest growing segment of the population in the United States and around the world. As the size of this population expands, the number of older adults referred for surgical procedures will continue to increase. Due to the physiologic changes of aging and the increased frequency of comorbidities, older adults are at increased risk for adverse outcomes, and perioperative care is inherently more complex than in younger individuals. In this review, we discuss the physiologic changes of aging relevant to the surgical patient, comprehensive preoperative assessment, and postoperative management of common complications in older adults in order to promote optimal clinical outcomes both perioperatively and long‐term. |
| doi_str_mv | 10.1002/clc.23302 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7021644</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2355091185</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4432-fe785e504fa65cdcf27f15c17a00b7db8f361cde45f194f0e149113b01abfd83</originalsourceid><addsrcrecordid>eNp1kUtLAzEUhYMotlYX_gEZcKOLtnlMOjMbQYsvKOii-5DJ3NTIdFKTGaX_3qvVooKrLM7HuV84hBwzOmKU8rGpzYgLQfkO6bNC8GGeiWyX9Cmb0GHB86JHDmJ8RpTmXOyTnmA5l4xnfXL1CMH5FQTduldIjA6QeJu0T5AsMNFtcCZZYQhNm1gfksY3CFVOmyR2AZn1Idmzuo5w9PUOyPzmej69G84ebu-nl7OhSVN0spDlEiRNrZ5IUxnLM8ukYZmmtMyqMrdiwkwFqbSsSC0FlhaMiZIyXdoqFwNysalddeUSKoNCQddqFdxSh7Xy2qnfSeOe1MK_qoxyNkGFATn7Kgj-pYPYqqWLBupaN-C7qLjgeLEQVCB6-gd99l1o8HdISUlRLJdInW8oE3yMAexWhlH1MYzCYdTnMMie_LTfkt9LIDDeAG-uhvX_TWo6m24q3wHD_5fg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2355091185</pqid></control><display><type>article</type><title>Perioperative care of the geriatric patient for noncardiac surgery</title><source>MEDLINE</source><source>Wiley-Blackwell Open Access Titles</source><source>DOAJ Directory of Open Access Journals</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><creator>Wolfe, Jonathan D. ; Wolfe, Natasha K. ; Rich, Michael W.</creator><creatorcontrib>Wolfe, Jonathan D. ; Wolfe, Natasha K. ; Rich, Michael W.</creatorcontrib><description>Adults age 65 and over are the fastest growing segment of the population in the United States and around the world. As the size of this population expands, the number of older adults referred for surgical procedures will continue to increase. Due to the physiologic changes of aging and the increased frequency of comorbidities, older adults are at increased risk for adverse outcomes, and perioperative care is inherently more complex than in younger individuals. In this review, we discuss the physiologic changes of aging relevant to the surgical patient, comprehensive preoperative assessment, and postoperative management of common complications in older adults in order to promote optimal clinical outcomes both perioperatively and long‐term.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.23302</identifier><identifier>PMID: 31825127</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>Adults ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Aging ; Alzheimer's disease ; Cardiovascular disease ; Cardiovascular system ; Comorbidity ; Coronary vessels ; Delirium ; frailty ; geriatric ; Geriatrics ; Health Status ; Heart failure ; Homeostasis ; Humans ; Hypertension ; Kidneys ; Mortality ; Musculoskeletal system ; Nervous system ; Older people ; Patients ; Perioperative Care - adverse effects ; Physiology ; postoperative complications ; Postoperative Complications - prevention & control ; preoperative assessment ; Prescription drugs ; Protective Factors ; Review ; Reviews ; Risk Assessment ; Risk Factors ; Stress response ; Surgery ; Surgical outcomes ; Surgical Procedures, Operative - adverse effects ; Time Factors ; Treatment Outcome ; Urine</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 2020-02, Vol.43 (2), p.127-136</ispartof><rights>2019 The Authors. published by Wiley Periodicals, Inc.</rights><rights>2019 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-fe785e504fa65cdcf27f15c17a00b7db8f361cde45f194f0e149113b01abfd83</citedby><cites>FETCH-LOGICAL-c4432-fe785e504fa65cdcf27f15c17a00b7db8f361cde45f194f0e149113b01abfd83</cites><orcidid>0000-0002-8586-3045</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021644/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7021644/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,1411,11543,27903,27904,45553,45554,46030,46454,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31825127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolfe, Jonathan D.</creatorcontrib><creatorcontrib>Wolfe, Natasha K.</creatorcontrib><creatorcontrib>Rich, Michael W.</creatorcontrib><title>Perioperative care of the geriatric patient for noncardiac surgery</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Adults age 65 and over are the fastest growing segment of the population in the United States and around the world. As the size of this population expands, the number of older adults referred for surgical procedures will continue to increase. Due to the physiologic changes of aging and the increased frequency of comorbidities, older adults are at increased risk for adverse outcomes, and perioperative care is inherently more complex than in younger individuals. In this review, we discuss the physiologic changes of aging relevant to the surgical patient, comprehensive preoperative assessment, and postoperative management of common complications in older adults in order to promote optimal clinical outcomes both perioperatively and long‐term.</description><subject>Adults</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Alzheimer's disease</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular system</subject><subject>Comorbidity</subject><subject>Coronary vessels</subject><subject>Delirium</subject><subject>frailty</subject><subject>geriatric</subject><subject>Geriatrics</subject><subject>Health Status</subject><subject>Heart failure</subject><subject>Homeostasis</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Kidneys</subject><subject>Mortality</subject><subject>Musculoskeletal system</subject><subject>Nervous system</subject><subject>Older people</subject><subject>Patients</subject><subject>Perioperative Care - adverse effects</subject><subject>Physiology</subject><subject>postoperative complications</subject><subject>Postoperative Complications - prevention & control</subject><subject>preoperative assessment</subject><subject>Prescription drugs</subject><subject>Protective Factors</subject><subject>Review</subject><subject>Reviews</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Stress response</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Surgical Procedures, Operative - adverse effects</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Urine</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUtLAzEUhYMotlYX_gEZcKOLtnlMOjMbQYsvKOii-5DJ3NTIdFKTGaX_3qvVooKrLM7HuV84hBwzOmKU8rGpzYgLQfkO6bNC8GGeiWyX9Cmb0GHB86JHDmJ8RpTmXOyTnmA5l4xnfXL1CMH5FQTduldIjA6QeJu0T5AsMNFtcCZZYQhNm1gfksY3CFVOmyR2AZn1Idmzuo5w9PUOyPzmej69G84ebu-nl7OhSVN0spDlEiRNrZ5IUxnLM8ukYZmmtMyqMrdiwkwFqbSsSC0FlhaMiZIyXdoqFwNysalddeUSKoNCQddqFdxSh7Xy2qnfSeOe1MK_qoxyNkGFATn7Kgj-pYPYqqWLBupaN-C7qLjgeLEQVCB6-gd99l1o8HdISUlRLJdInW8oE3yMAexWhlH1MYzCYdTnMMie_LTfkt9LIDDeAG-uhvX_TWo6m24q3wHD_5fg</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Wolfe, Jonathan D.</creator><creator>Wolfe, Natasha K.</creator><creator>Rich, Michael W.</creator><general>Wiley Periodicals, Inc</general><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8586-3045</orcidid></search><sort><creationdate>202002</creationdate><title>Perioperative care of the geriatric patient for noncardiac surgery</title><author>Wolfe, Jonathan D. ; Wolfe, Natasha K. ; Rich, Michael W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-fe785e504fa65cdcf27f15c17a00b7db8f361cde45f194f0e149113b01abfd83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adults</topic><topic>Age</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Alzheimer's disease</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular system</topic><topic>Comorbidity</topic><topic>Coronary vessels</topic><topic>Delirium</topic><topic>frailty</topic><topic>geriatric</topic><topic>Geriatrics</topic><topic>Health Status</topic><topic>Heart failure</topic><topic>Homeostasis</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Kidneys</topic><topic>Mortality</topic><topic>Musculoskeletal system</topic><topic>Nervous system</topic><topic>Older people</topic><topic>Patients</topic><topic>Perioperative Care - adverse effects</topic><topic>Physiology</topic><topic>postoperative complications</topic><topic>Postoperative Complications - prevention & control</topic><topic>preoperative assessment</topic><topic>Prescription drugs</topic><topic>Protective Factors</topic><topic>Review</topic><topic>Reviews</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Stress response</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Surgical Procedures, Operative - adverse effects</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolfe, Jonathan D.</creatorcontrib><creatorcontrib>Wolfe, Natasha K.</creatorcontrib><creatorcontrib>Rich, Michael W.</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolfe, Jonathan D.</au><au>Wolfe, Natasha K.</au><au>Rich, Michael W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative care of the geriatric patient for noncardiac surgery</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>2020-02</date><risdate>2020</risdate><volume>43</volume><issue>2</issue><spage>127</spage><epage>136</epage><pages>127-136</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><abstract>Adults age 65 and over are the fastest growing segment of the population in the United States and around the world. As the size of this population expands, the number of older adults referred for surgical procedures will continue to increase. Due to the physiologic changes of aging and the increased frequency of comorbidities, older adults are at increased risk for adverse outcomes, and perioperative care is inherently more complex than in younger individuals. In this review, we discuss the physiologic changes of aging relevant to the surgical patient, comprehensive preoperative assessment, and postoperative management of common complications in older adults in order to promote optimal clinical outcomes both perioperatively and long‐term.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>31825127</pmid><doi>10.1002/clc.23302</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-8586-3045</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0160-9289 |
| ispartof | Clinical cardiology (Mahwah, N.J.), 2020-02, Vol.43 (2), p.127-136 |
| issn | 0160-9289 1932-8737 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7021644 |
| source | MEDLINE; Wiley-Blackwell Open Access Titles; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Adults Age Age Factors Aged Aged, 80 and over Aging Alzheimer's disease Cardiovascular disease Cardiovascular system Comorbidity Coronary vessels Delirium frailty geriatric Geriatrics Health Status Heart failure Homeostasis Humans Hypertension Kidneys Mortality Musculoskeletal system Nervous system Older people Patients Perioperative Care - adverse effects Physiology postoperative complications Postoperative Complications - prevention & control preoperative assessment Prescription drugs Protective Factors Review Reviews Risk Assessment Risk Factors Stress response Surgery Surgical outcomes Surgical Procedures, Operative - adverse effects Time Factors Treatment Outcome Urine |
| title | Perioperative care of the geriatric patient for noncardiac surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T18%3A12%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Perioperative%20care%20of%20the%20geriatric%20patient%20for%20noncardiac%20surgery&rft.jtitle=Clinical%20cardiology%20(Mahwah,%20N.J.)&rft.au=Wolfe,%20Jonathan%20D.&rft.date=2020-02&rft.volume=43&rft.issue=2&rft.spage=127&rft.epage=136&rft.pages=127-136&rft.issn=0160-9289&rft.eissn=1932-8737&rft_id=info:doi/10.1002/clc.23302&rft_dat=%3Cproquest_pubme%3E2355091185%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2355091185&rft_id=info:pmid/31825127&rfr_iscdi=true |