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Optimization of Care for the Elderly Surgical Emergency Patient.
Warner, Rachel Lynne; Iwanyshyn, Nadia; Johnson, Donald; Skarupa, David J.
Affiliation
  • Warner RL; University of Florida College of Medicine -Jacksonville, 655 West 8th Street, Jacksonville, FL 32209, USA.
  • Iwanyshyn N; University of Florida College of Pharmacy -Jacksonville, 655 West 8th Street, Jacksonville, FL 32209, USA.
  • Johnson D; University of Florida College of Pharmacy -Jacksonville, 655 West 8th Street, Jacksonville, FL 32209, USA.
  • Skarupa DJ; University of Florida College of Medicine -Jacksonville, 655 West 8th Street, Jacksonville, FL 32209, USA. Electronic address: David.Skarupa@Jax.ufl.edu.
Surg Clin North Am ; 103(6): 1253-1267, 2023 Dec.
Article in En | MEDLINE | ID: mdl-37838466
Geriatric patients undergoing emergency surgery are at significantly higher risk for complications and death when compared with younger patients. Optimizing care for these patients requires a multidisciplinary team, special attention to physiologic changes and medication use, as well as targeted intervention to mitigate complications such as delirium, which can worsen overall outcomes. Frailty can be assessed preoperatively to identify patients at the highest risk for complications. Shared decision-making with both the family and patient during the consent process is integral to defining patient's goals of care in these high-risk situations.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Frailty Limits: Aged / Humans Language: En Journal: Surg Clin North Am Year: 2023 Document type: Article Affiliation country: United States Country of publication: United States

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Frailty Limits: Aged / Humans Language: En Journal: Surg Clin North Am Year: 2023 Document type: Article Affiliation country: United States Country of publication: United States