We need more studies to guide the perioperative management of high risk seniors undergoing surgery

General criteria that focus on physiologic parameters (e.g., blood pressure, respiration and oxygenation) are currently used to assess seniors readiness for discharge from surgery, but do not address nor assess potential patient-specific risk factors such as health literacy (HL), cognitive impairmen...

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Bibliographic Details
Published inJournal of clinical anesthesia Vol. 48; pp. 89 - 90
Main Author De Oliveira, Gildasio S.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.08.2018
Elsevier Limited
Subjects
Activities of daily living
Ambulatory care
Anesthesia
Frailty
Health education
Health literacy
Humans
Pain Medicine
Patients
Perioperative Period
Quality Improvement
Society
Surgery
Surgical outcomes
United States > US
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Summary:General criteria that focus on physiologic parameters (e.g., blood pressure, respiration and oxygenation) are currently used to assess seniors readiness for discharge from surgery, but do not address nor assess potential patient-specific risk factors such as health literacy (HL), cognitive impairment, social support, patient comprehension, and other limitations and needs of seniors [6–8]. Seniors with poor HL are particularly vulnerable to gaps in the safety and quality of care in the ambulatory setting where the patient, not the provider, has a primary role in implementing self-care instructions, received during brief encounters with healthcare personnel. [...]anesthesiologists taking care of seniors with frailty may encounter system and individual barriers to implement the proposed recommendations.
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ISSN:0952-8180
1873-4529
1873-4529
DOI:10.1016/j.jclinane.2018.04.021