Surgery in older patients: learning from shared decision-making in intensive care

Alexander J Fowler¹, Timothy J Stephens², Judith Partridge³, Jugdeep Dhesi⁴

Affiliations

¹ Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK. Electronic address: a.fowler@qmul.ac.uk.
² Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK.
³ Department of Ageing and Health, Perioperative Medicine for Older People Undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK; School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
⁴ Department of Ageing and Health, Perioperative Medicine for Older People Undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK; School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK; Research Department of Targeted Intervention, Division of Surgery & Interventional Science, University College London, London, UK.

PMID: 36109204
DOI: 10.1016/j.bja.2022.08.002

Free article

Editorial

Surgery in older patients: learning from shared decision-making in intensive care

Alexander J Fowler et al. Br J Anaesth. 2022 Nov.

Free article

. 2022 Nov;129(5):652-655.

doi: 10.1016/j.bja.2022.08.002. Epub 2022 Sep 13.

Authors

Alexander J Fowler¹, Timothy J Stephens², Judith Partridge³, Jugdeep Dhesi⁴

Affiliations

¹ Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK. Electronic address: a.fowler@qmul.ac.uk.
² Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK; Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK.
³ Department of Ageing and Health, Perioperative Medicine for Older People Undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK; School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.
⁴ Department of Ageing and Health, Perioperative Medicine for Older People Undergoing Surgery (POPS), Guy's and St Thomas' NHS Foundation Trust, London, UK; School of Population Health & Environmental Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK; Research Department of Targeted Intervention, Division of Surgery & Interventional Science, University College London, London, UK.

PMID: 36109204
DOI: 10.1016/j.bja.2022.08.002

Abstract

An increasing number of older patients are having surgical treatments. Similar to older patients admitted to intensive care, they present with additional problems including multimorbidity, frailty, and cognitive impairment. In both intensive care and surgical settings, comprehensive assessment can inform targeted interventions and shared decision-making. We explore the challenges faced by older patients, and by the clinicians treating them.

Keywords: Comprehensive Geriatric Assessment (CGA); frailty; geriatrics; mortality; perioperative medicine; shared decision-making; surgical outcomes.

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Short-term mortality of patients ≥80 years old admitted to European intensive care units: an international observational study.
Fronczek J, Flaatten H, Guidet B, Polok K, Andersen FH, Andrew BY, Artigas A, Beil M, Cecconi M, Christensen S, de Lange DW, Fjølner J, Górka J, Joannidis M, Jung C, Kusza K, Leaver S, Marsh B, Morandi A, Moreno R, Oeyen S, Owczuk R, Agvald-Öhman C, Pinto BB, Rhodes A, Schefold JC, Soliman IW, Valentin A, Walther S, Watson X, Zafeiridis T, Szczeklik W; VIP1 & VIP2 study group. Fronczek J, et al. Br J Anaesth. 2022 Jul;129(1):58-66. doi: 10.1016/j.bja.2022.03.026. Epub 2022 Apr 29. Br J Anaesth. 2022. PMID: 35501185

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Surgery in older patients: learning from shared decision-making in intensive care

Affiliations

Surgery in older patients: learning from shared decision-making in intensive care

Authors

Affiliations

Abstract

Comment on

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Research Materials