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9 - The Surgeon's Perspective

from Section 3 - Intraoperative Considerations

Published online by Cambridge University Press:  06 January 2018

By
Cynthia E. Weber ,
Anthony J. Baldea  and
Fred A. Luchette
Edited by
Sheila Ryan Barnett  and
Sara E. Neves
Sheila Ryan Barnett
Affiliation:
Harvard University Medical School, Massachusetts
Sara E. Neves
Affiliation:
Beth Israel Deaconess Medical Center, Boston, MA, USA
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Perioperative Care of the Elderly Patient , pp. 99 - 107
Publisher: Cambridge University Press
Print publication year: 2018

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References

American Geriatrics Society. Geriatric Review Syllabus – A Core Curriculum in Geriatric Medicine, 6th edn. New York, American Geriatrics Society, 2006.Google Scholar
Halaweish, I, Alam, HB. Changing demographics of the American population. Surg Clin North Am. 2015; 95:1–10.Google Scholar
Al-Temimi, MH, Griffee, M, Enniss, TM, et al. When is death inevitable after emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg. 2012; 215:503–511.Google Scholar
Ingraham, AM, Cohen, ME, Raval, MV, Ko, CY, Nathens, AB. Variation in quality of care after emergency general surgery procedures in the elderly. J Am Coll Surg. 2011; 212:1039–1048.Google Scholar
Farhat, JS, Velanovich, V, Falvo, AJ, et al. Are the frail destined to fail? Frailty index as predictor of surgical morbidity and mortality in the elderly. J Trauma Acute Care Surg. 2012; 72:1526–1530.Google Scholar
Sheetz, KH, Krell, RW, Englesbe, MJ, et al. The importance of the first complication: understanding failure to rescue after emergent surgery in the elderly. J Am Coll Surg. 2014; 219:365–370.CrossRefGoogle ScholarPubMed
Sheetz, KH, Waits, SA, Krell, RW, et al. Improving mortality following emergent surgery in older patients requires focus on complication rescue. Ann Surg. 2013; 258:614–617.Google Scholar
Chow, WB, Rosenthal, RA, Merkow, RP, et al. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. J Am Coll Surg. 2012; 215:453–466.CrossRefGoogle Scholar
Kim, S, Brooks, AK, Groban, L. Preoperative assessment of the older surgical patient: honing in on geriatric syndromes. Clin Interv Aging. 2015; 10:13–27.Google Scholar
Williams, JB, Alexander, KP, Morin, JF, et al. Preoperative anxiety as a predictor of mortality and major morbidity in patients aged >70 years undergoing cardiac surgery. Am J Cardiol. 2013; 111:137–142.CrossRefGoogle ScholarPubMed
Saxton, A, Velanovich, V. Preoperative frailty and quality of life as predictors of postoperative complications. Ann Surg. 2011; 253:1223–1229.Google Scholar
Kim, SW, Han, HS, Jung, HW, et al. Multidimensional frailty score for the prediction of postoperative mortality risk. JAMA Surg. 2014; 149:633–640.CrossRefGoogle ScholarPubMed
Robinson, TN, Eiseman, B, Wallace, JI, et al. Redefining geriatric preoperative assessment using frailty, disability and co-morbidity. Ann Surg. 2009; 250:449–455.CrossRefGoogle ScholarPubMed
Robinson, TN, Wallace, JI, Wu, DS, et al. Accumulated frailty characteristics predict postoperative discharge institutionalization in the geriatric patient. J Am Coll Surg. 2011; 213:37–42.CrossRefGoogle ScholarPubMed
Robinson, TN, Wu, DS, Pointer, L, et al. Simple frailty score predicts postoperative complications across surgical specialties. Am J Surg. 2013; 206:544–550.CrossRefGoogle ScholarPubMed
Revenig, LM, Canter, DJ, Henderson, MA, et al. Preoperative quantification of perceptions of surgical frailty. J Surg Res. 2015; 193:583–589.Google Scholar
Revenig, LM, Canter, DJ, Taylor, MD, et al. Too frail for surgery? Initial results of a large multidisciplinary prospective study examining preoperative variables predictive of poor surgical outcomes. J Am Coll Surg. 2013; 217:665–670 e1.Google Scholar
Karam, J, Tsiouris, A, Shepard, A, Velanovich, V, Rubinfeld, I. Simplified frailty index to predict adverse outcomes and mortality in vascular surgery patients. Ann Vasc Surg. 2013; 27:904–908.CrossRefGoogle ScholarPubMed
Makary, MA, Segev, DL, Pronovost, PJ, et al. Frailty as a predictor of surgical outcomes in older patients. J Am Coll Surg. 2010; 210:901–908.Google Scholar
Amrock, LG, Neuman, MD, Lin, HM, Deiner, S. Can routine preoperative data predict adverse outcomes in the elderly? Development and validation of a simple risk model incorporating a chart-derived frailty score. J Am Coll Surg. 2014; 219:684–694.Google Scholar
Soreide, K, Desserud, KF. Emergency surgery in the elderly: the balance between function, frailty, fatality and futility. Scand J Trauma Resusc Emerg Med. 2015; 23:10.Google Scholar
Cohen, RR, Lagoo-Deenadayalan, SA, Heflin, MT, et al. Exploring predictors of complication in older surgical patients: a deficit accumulation index and the Braden Scale. J Am Geriatr Soc. 2012; 60:1609–1615.Google Scholar
Wilson, I, Paul Barrett, M, Sinha, A, Chan, S. Predictors of in-hospital mortality amongst octogenarians undergoing emergency general surgery: a retrospective cohort study. Int J Surg. 2014; 12:1157–1161.Google Scholar
Merani, S, Payne, J, Padwal, RS, et al. Predictors of in-hospital mortality and complications in very elderly patients undergoing emergency surgery. World J Emerg Surg. 2014; 9:43.Google Scholar
Park, SY, Chung, JS, Kim, SH, et al. The safety and prognostic factors for mortality in extremely elderly patients undergoing an emergency operation. Surg Today. 2016; 46(2):241–247.Google Scholar
Daley, J, Khuri, SF, Henderson, W, et al. Risk adjustment of the postoperative morbidity rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg. 1997; 185:328–340.Google Scholar
Khuri, SF, Daley, J, Henderson, W, et al. Risk adjustment of the postoperative mortality rate for the comparative assessment of the quality of surgical care: results of the National Veterans Affairs Surgical Risk Study. J Am Coll Surg. 1997; 185:315–327.Google Scholar
Du, Y, Karvellas, CJ, Baracos, V, et al. Sarcopenia is a predictor of outcomes in very elderly patients undergoing emergency surgery. Surgery. 2014; 156:521–527.Google Scholar
Bates, AT, Divino, C. Laparoscopic surgery in the elderly: a review of the literature. Aging Dis. 2015; 6:149–155.Google Scholar
Antoniou, SA, Antoniou, GA, Koch, OO, Pointner, R, Granderath, FA. Meta-analysis of laparoscopic vs open cholecystectomy in elderly patients. World J Gastroenterol. 2014; 20:17626–17634.Google Scholar
Tucker, JJ, Yanagawa, F, Grim, R, Bell, T, Ahuja, V. Laparoscopic cholecystectomy is safe but underused in the elderly. Am Surg. 2011; 77:1014–1020.Google Scholar
Lee, SI, Na, BG, Yoo, YS, Mun, SP, Choi, NK. Clinical outcome for laparoscopic cholecystectomy in extremely elderly patients. Ann Surg Treat Res. 2015; 88:145–151.CrossRefGoogle ScholarPubMed
Weber, DM. Laparoscopic surgery: an excellent approach in elderly patients. Arch Surg. 2003; 138:1083–1088.CrossRefGoogle ScholarPubMed
Seishima, R, Okabayashi, K, Hasegawa, H, et al. Is laparoscopic colorectal surgery beneficial for elderly patients? A systematic review and meta-analysis. J Gastrointest Surg. 2015; 19:756–765.CrossRefGoogle ScholarPubMed
Shoair, OA, Grasso, Ii MP, Lahaye, LA, et al. Incidence and risk factors for postoperative cognitive dysfunction in older adults undergoing major noncardiac surgery: a prospective study. J Anaesthesiol Clin Pharmacol. 2015; 31:30–36.Google Scholar
Kotekar, N, Kuruvilla, CS, Murthy, V. Postoperative cognitive dysfunction in the elderly: a prospective clinical study. Indian J Anaesth. 2014; 58:263–268.Google Scholar
Tan, CB, Ng, J, Jeganathan, R, et al. Cognitive changes after surgery in the elderly: does minimally invasive surgery influence the incidence of postoperative cognitive changes compared to open colon surgery? Dement Geriatr Cogn Disord. 2015; 39:125–131.Google Scholar
Gameiro, M, Eichler, W, Schwandner, O, et al. Patient mood and neuropsychological outcome after laparoscopic and conventional colectomy. Surg Innov. 2008; 15:171–178.Google Scholar
Hussain, M, Berger, M, Eckenhoff, RG, Seitz, DP. General anesthetic and the risk of dementia in elderly patients: current insights. Clin Interv Aging. 2014; 9:1619–1628.Google Scholar
OECD. Health at a glance 2013: OECD indicators. OECD Publishing, 2013. Available at: www.oecd.org/els/health-systems/Health-at-a-Glance-2013.pdf (Accessed July 7, 2017).Google Scholar
Barnet, CS, Arriaga, AF, Hepner, DL, et al. Surgery at the end of life: a pilot study comparing decedents and survivors at a tertiary care center. Anesthesiology. 2013; 119:796–801.Google Scholar
Kwok, AC, Semel, ME, Lipsitz, SR, et al. The intensity and variation of surgical care at the end of life: a retrospective cohort study. Lancet. 2011; 378:1408–1413.Google Scholar

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