Perioperative Risk Stratification and Modification

Abstract

This article discusses the important topic of perioperative risk stratification and the interventions that can be used in the perioperative period for risk modification. It begins with a brief overview of the commonly used scoring systems, risk-prediction models, and assessments of functional capacity and discusses some of the evidence behind each. It then moves on to examine how perioperative risk can be modified through the use of shared decision making, management of multimorbidity, and prehabilitation programs, before considering what the future of risk stratification and modification may hold.

Keywords: Comorbidity; Multimorbidity; Perioperative care; Perioperative medicine; Prehabilitation; Risk prediction; Risk stratification; Shared decision making.