Surgical Risk Assessment and Prevention in Elderly Spinal Deformity Patients.
Kevin ThomasKa Hin WongSusan C SteelmanAnaliz RodriguezPublished in: Geriatric orthopaedic surgery & rehabilitation (2019)
After evaluation of the latest literature on the complications associated with adult deformity surgery in geriatric patients, comprehensive perioperative management is necessary for improved outcomes. Preoperative strategies include assessing physiological age via frailty score, nutritional status, bone quality, dementia/delirium risk, and social activity support. Intraoperative strategies include methods to reduce blood loss and procedural time. Postoperatively, development of a multidisciplinary team approach that encourages early ambulation, decreases opiate use, and ensures supportive discharge planning is imperative for better outcomes for this patient population.
Keyphrases
- end stage renal disease
- risk assessment
- ejection fraction
- newly diagnosed
- chronic kidney disease
- patients undergoing
- minimally invasive
- palliative care
- systematic review
- prognostic factors
- peritoneal dialysis
- cardiac surgery
- mental health
- type diabetes
- metabolic syndrome
- patient reported outcomes
- skeletal muscle
- heavy metals
- adipose tissue
- body composition
- human health
- atrial fibrillation
- coronary artery bypass