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The Elderly Surgical Patient

Michael E. Zenilman, Sylvia S. Kim · DeckerMed Surgery · 2015

The elderly portion of the US population uses a substantial share of total health care resources, including surgical resources. Accordingly, care of older patients is likely to account for an increasing share of surgeons workloads; therefore, it is incumbent on surgeons to be aware of the particular concerns that apply to this surgical subpopulation. This review discusses the physiologic compromises per organ system seen with aging, highlighting their potential ramifications for surgery. The authors cover the tools available to risk stratify elderly patients beyond single organ system evaluation, such as the Comprehensive Geriatric Assessment, which categorizes patients as fit, intermediate, and frail. This review has 3 figures, 10 highly descriptive tables, and 94 references.

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