Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Sep;216(3):585-594.
doi: 10.1016/j.amjsurg.2018.04.006. Epub 2018 Apr 18.

Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients

Gilgamesh Eamer  1 , Mohamed J H Al-Amoodi  1 , Jayna Holroyd-Leduc  2 , Darryl B Rolfson  3 , Lindsey M Warkentin  1 , Rachel G Khadaroo  4
Affiliations
Free article
Review

Review of risk assessment tools to predict morbidity and mortality in elderly surgical patients

Gilgamesh Eamer et al. Am J Surg. 2018 Sep.
Free article

Abstract

Background: Informed surgical consent requires accurate estimation of risks and benefits. Multiple risk assessment tools are available; however, most are not widely used or are specific to certain interventions. Assessing surgical risk is especially challenging in elderly patients because of their range of comorbidities, level of frailty, or severity of illness and a number of available surgical interventions.

Data sources: We searched MEDLINE from January 2014 to July 2017 for studies that used risk assessment tools in studies on elderly surgical patients. We then sought the original articles describing each assessment tool and subsequent validation studies.

Conclusions: We identified risk assessment tools that can improve surgical risk assessment in elderly surgical patients. The majority of the identified tools are not commonly used for pre-operative risk assessment. NSQIP-PMP, mFI and SURPAS are promising tools. Age is commonly used to predict risk, but frailty may be a more appropriate measure.

Keywords: Elderly; Emergency; Frail; Geriatric; Morbidity; Mortality; Predictors; Review; Risk assessment; Scores; Tool.

PubMed Disclaimer

Publication types