Postoperative Functional Outcomes in Older Adults

doi:10.1007/s40137-016-0140-7

. 2016 Jun;4(6):21.

doi: 10.1007/s40137-016-0140-7. Epub 2016 May 4.

Postoperative Functional Outcomes in Older Adults

Zabecca Brinson¹, Victoria L Tang¹, Emily Finlayson¹

Affiliations

Affiliation

¹ Department of Surgery (EF, ZB), Department of Medicine (EF, VT), Phillip R Lee Institute for Health Policy Studies (EF), 3333 California St, San Francisco, CA 94118; (415) 885-3606.

PMID: 28344894
PMCID: PMC5362160
DOI: 10.1007/s40137-016-0140-7

Postoperative Functional Outcomes in Older Adults

Zabecca Brinson et al. Curr Surg Rep. 2016 Jun.

. 2016 Jun;4(6):21.

doi: 10.1007/s40137-016-0140-7. Epub 2016 May 4.

Authors

Zabecca Brinson¹, Victoria L Tang¹, Emily Finlayson¹

Affiliation

¹ Department of Surgery (EF, ZB), Department of Medicine (EF, VT), Phillip R Lee Institute for Health Policy Studies (EF), 3333 California St, San Francisco, CA 94118; (415) 885-3606.

PMID: 28344894
PMCID: PMC5362160
DOI: 10.1007/s40137-016-0140-7

Abstract

As the world's aging population grows, the surgical population is increasingly made up of older adults. Due to changes in physiologic function and increasing comorbidity burden, older adults are at increased risk of morbidity, mortality, and functional decline after surgery. In addition, decision to undergo surgery for the older adult may be based on the postoperative functional outcome rather than survival. Although few studies have evaluated an older adult's function as a postoperative outcome, surgeons are becoming increasingly aware of the importance of maintaining or regaining function in an older patient. Interventions to improve postoperative functional outcomes are being developed and show promising results. This review discusses existing literature on postoperative functional outcomes in older adults and recently developed interventions.

Keywords: elderly; functional outcomes; geriatrics; older adults.

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References

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1. Richardson JD, Cocanour CS, Kern JA, Garrison RN, Kirton OC, Cofer JB, Thomason MH. Perioperative risk assessment in elderly and high-risk patients. Journal of the American College of Surgeons. 2004;199(1):133–146. doi: 10.1016/j.jamcollsurg.2004.02.023. - DOI - PubMed
1. Cheng S, Yang T, Jeng K, Lee J, Liu T, Liu C. Perioperative care of the elderly. International Journal of Gerontology. 2007;1(2):89–97.
1. Cooper Z, Scott JW, Rosenthal RA, Mitchell SL. Emergency major abdominal surgical procedures in older adults: A systematic review of mortality and functional outcomes. Journal of the American Geriatrics Society. 2015;63:2563–2571. doi: 10.1111/jgs.13818. - DOI - PMC - PubMed
1. Curiel-Balsera E, Mora-Ordoñez JM, Castillo-Lorente E, Benitez-Parejo J, Herruzo-Avilés A, Ravina-Sanz JJ, Rivera-Fernandez R. Mortality and complications in elderly patients undergoing cardiac surgery. Journal of Critical Care. 2013;28(4):397–404. http://dx.doi.org/10.1016/j.jcrc.2012.12.011. - DOI - PubMed

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[1] Colloca G, Santoro M, Gambassi G. Age-related physiologic changes and perioperative management of elderly patients. Surgical Oncology. 2010;19:124–130. doi: 10.1016/j.suronc.2009.11.011. - DOI - PubMed

[2] Colloca G, Santoro M, Gambassi G. Age-related physiologic changes and perioperative management of elderly patients. Surgical Oncology. 2010;19:124–130. doi: 10.1016/j.suronc.2009.11.011. - DOI - PubMed

[3] Richardson JD, Cocanour CS, Kern JA, Garrison RN, Kirton OC, Cofer JB, Thomason MH. Perioperative risk assessment in elderly and high-risk patients. Journal of the American College of Surgeons. 2004;199(1):133–146. doi: 10.1016/j.jamcollsurg.2004.02.023. - DOI - PubMed

[4] Richardson JD, Cocanour CS, Kern JA, Garrison RN, Kirton OC, Cofer JB, Thomason MH. Perioperative risk assessment in elderly and high-risk patients. Journal of the American College of Surgeons. 2004;199(1):133–146. doi: 10.1016/j.jamcollsurg.2004.02.023. - DOI - PubMed

[5] Cheng S, Yang T, Jeng K, Lee J, Liu T, Liu C. Perioperative care of the elderly. International Journal of Gerontology. 2007;1(2):89–97.

[6] Cheng S, Yang T, Jeng K, Lee J, Liu T, Liu C. Perioperative care of the elderly. International Journal of Gerontology. 2007;1(2):89–97.

[7] Cooper Z, Scott JW, Rosenthal RA, Mitchell SL. Emergency major abdominal surgical procedures in older adults: A systematic review of mortality and functional outcomes. Journal of the American Geriatrics Society. 2015;63:2563–2571. doi: 10.1111/jgs.13818. - DOI - PMC - PubMed

[8] Cooper Z, Scott JW, Rosenthal RA, Mitchell SL. Emergency major abdominal surgical procedures in older adults: A systematic review of mortality and functional outcomes. Journal of the American Geriatrics Society. 2015;63:2563–2571. doi: 10.1111/jgs.13818. - DOI - PMC - PubMed

[9] Curiel-Balsera E, Mora-Ordoñez JM, Castillo-Lorente E, Benitez-Parejo J, Herruzo-Avilés A, Ravina-Sanz JJ, Rivera-Fernandez R. Mortality and complications in elderly patients undergoing cardiac surgery. Journal of Critical Care. 2013;28(4):397–404. http://dx.doi.org/10.1016/j.jcrc.2012.12.011. - DOI - PubMed

[10] Curiel-Balsera E, Mora-Ordoñez JM, Castillo-Lorente E, Benitez-Parejo J, Herruzo-Avilés A, Ravina-Sanz JJ, Rivera-Fernandez R. Mortality and complications in elderly patients undergoing cardiac surgery. Journal of Critical Care. 2013;28(4):397–404. http://dx.doi.org/10.1016/j.jcrc.2012.12.011. - DOI - PubMed

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Postoperative Functional Outcomes in Older Adults

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Postoperative Functional Outcomes in Older Adults

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