Surgery in older patients: learning from shared decision-making in intensive care. (November 2022)

• Record Type: Journal Article
• Authors: Fowler, Alexander J.; Stephens, Timothy J.; Partridge, Judith; Dhesi, Jugdeep
• Is Part Of: British journal of anaesthesia. Volume 129:Number 5(2022)
• Page Start: 652
• Page End: 655
• Publication Date: 2022-11
• Subjects: Comprehensive Geriatric Assessment (CGA) -- frailty -- geriatrics -- mortality -- perioperative medicine -- shared decision-making -- surgical outcomes; Anesthesiology -- Periodicals; Anesthesia -- Periodicals; 617.9605
• DOI: 10.1016/j.bja.2022.08.002
• Languages: English
• ISSNs: 0007-0912

Abstract

Summary: 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.