Research ExplorerPublicationsDeterminants of Perioperative Outcome in Frail Older Patient...

Determinants of Perioperative Outcome in Frail Older Patients

Standard

Determinants of Perioperative Outcome in Frail Older Patients. / Mende, Anna; Riegel, Ann-Kathrin; Plümer, Lili; Olotu, Cynthia; Götz, Alwin Eduard; Kiefmann, Rainer.

In: DTSCH ARZTEBL INT, Vol. 116, No. 5, 01.02.2019, p. 73-82.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Mende, A, Riegel, A-K, Plümer, L, Olotu, C, Götz, AE & Kiefmann, R 2019, 'Determinants of Perioperative Outcome in Frail Older Patients', DTSCH ARZTEBL INT, vol. 116, no. 5, pp. 73-82. https://doi.org/10.3238/arztebl.2019.0073

APA

Mende, A., Riegel, A-K., Plümer, L., Olotu, C., Götz, A. E., & Kiefmann, R. (2019). Determinants of Perioperative Outcome in Frail Older Patients. DTSCH ARZTEBL INT, 116(5), 73-82. https://doi.org/10.3238/arztebl.2019.0073

Vancouver

Mende A, Riegel A-K, Plümer L, Olotu C, Götz AE, Kiefmann R. Determinants of Perioperative Outcome in Frail Older Patients. DTSCH ARZTEBL INT. 2019 Feb 1;116(5):73-82. https://doi.org/10.3238/arztebl.2019.0073

Bibtex

@article{f00da41524324ecd98c8623b3cb29a09,
title = "Determinants of Perioperative Outcome in Frail Older Patients",
abstract = "BACKGROUND: Older patients are undergoing surgery in increasing numbers. Frailty is a key risk factor associated with higher rates of complications and mortality, longer hospital stays, and functional impairment.METHODS: This review is based on pertinent publications retrieved by a selective search in PubMed, including guidelines from Germany and abroad.RESULTS: Many studies have been published on the assessment of frailty and its consequences, but the scientific investigation of this topic and the clinical utility of the findings are made more difficult by the lack of a uniform definition and of uniform instruments for assessment. Some definitions of frailty include only physical aspects, while others encompass cognitive, emotional, and social factors as well. Despite this variability, the assessment of frailty enables better estimation of the perioperative risk so that the patient can be optimally prepared for the operation. Especially for frail elderly patients, an interdisciplinary approach is called for over the entire perioperative treatment period.CONCLUSION: In the future, the definition of frailty will need to be standardized so that this parameter can be properly assessed and investigated in comparative studies.",
keywords = "Aged, Frail Elderly, Humans, Perioperative Care, Treatment Outcome",
author = "Anna Mende and Ann-Kathrin Riegel and Lili Pl{\"u}mer and Cynthia Olotu and G{\"o}tz, {Alwin Eduard} and Rainer Kiefmann",
year = "2019",
month = feb,
day = "1",
doi = "10.3238/arztebl.2019.0073",
language = "English",
volume = "116",
pages = "73--82",
journal = "DTSCH ARZTEBL INT",
issn = "1866-0452",
publisher = "Deutscher Arzte-Verlag",
number = "5",

}

RIS

TY - JOUR

T1 - Determinants of Perioperative Outcome in Frail Older Patients

AU - Mende, Anna

AU - Riegel, Ann-Kathrin

AU - Plümer, Lili

AU - Olotu, Cynthia

AU - Götz, Alwin Eduard

AU - Kiefmann, Rainer

PY - 2019/2/1

Y1 - 2019/2/1

N2 - BACKGROUND: Older patients are undergoing surgery in increasing numbers. Frailty is a key risk factor associated with higher rates of complications and mortality, longer hospital stays, and functional impairment.METHODS: This review is based on pertinent publications retrieved by a selective search in PubMed, including guidelines from Germany and abroad.RESULTS: Many studies have been published on the assessment of frailty and its consequences, but the scientific investigation of this topic and the clinical utility of the findings are made more difficult by the lack of a uniform definition and of uniform instruments for assessment. Some definitions of frailty include only physical aspects, while others encompass cognitive, emotional, and social factors as well. Despite this variability, the assessment of frailty enables better estimation of the perioperative risk so that the patient can be optimally prepared for the operation. Especially for frail elderly patients, an interdisciplinary approach is called for over the entire perioperative treatment period.CONCLUSION: In the future, the definition of frailty will need to be standardized so that this parameter can be properly assessed and investigated in comparative studies.

AB - BACKGROUND: Older patients are undergoing surgery in increasing numbers. Frailty is a key risk factor associated with higher rates of complications and mortality, longer hospital stays, and functional impairment.METHODS: This review is based on pertinent publications retrieved by a selective search in PubMed, including guidelines from Germany and abroad.RESULTS: Many studies have been published on the assessment of frailty and its consequences, but the scientific investigation of this topic and the clinical utility of the findings are made more difficult by the lack of a uniform definition and of uniform instruments for assessment. Some definitions of frailty include only physical aspects, while others encompass cognitive, emotional, and social factors as well. Despite this variability, the assessment of frailty enables better estimation of the perioperative risk so that the patient can be optimally prepared for the operation. Especially for frail elderly patients, an interdisciplinary approach is called for over the entire perioperative treatment period.CONCLUSION: In the future, the definition of frailty will need to be standardized so that this parameter can be properly assessed and investigated in comparative studies.

KW - Aged

KW - Frail Elderly

KW - Humans

KW - Perioperative Care

KW - Treatment Outcome

U2 - 10.3238/arztebl.2019.0073

DO - 10.3238/arztebl.2019.0073

M3 - SCORING: Review article

C2 - 30950393

VL - 116

SP - 73

EP - 82

JO - DTSCH ARZTEBL INT

JF - DTSCH ARZTEBL INT

SN - 1866-0452

IS - 5

ER -