Perioperative Geriatric Management-References

References

Pdf Summary

The references compiled for the Perioperative Geriatric Management (2025-2028) document represent a comprehensive foundation of current research, guidelines, and practices focused on optimizing surgical care for older adults. They encompass key areas including epidemiology of aging populations and surgical risks, physiologic changes with aging affecting perioperative outcomes, and the importance of frailty assessment as a predictor of postoperative complications and mortality.<br /><br />Significant focus is placed on postoperative cognitive disorders, notably delirium, with multiple references addressing risk factors, screening tools like the Mini-Cog, prevention strategies, and treatment advances. The inclusion of guidelines from American Geriatrics Society and American College of Surgeons highlights best practices in preoperative assessment and perioperative management tailored to older patients.<br /><br />Medication management and deprescribing are emphasized as critical to reducing polypharmacy risks and adverse drug events in the elderly surgical population. References discuss the impact of specific drugs such as gabapentin and proton pump inhibitors, underscoring the need for careful use and monitoring.<br /><br />Shared decision-making tools and models are well represented, reflecting the importance of incorporating patient preferences and health literacy into surgical care planning. Studies on communication strategies, decision aids, and equity considerations aim to enhance informed consent and patient-centered outcomes.<br /><br />Models of co-management and comprehensive geriatric assessment services like the PROactive care of Older People undergoing Surgery (POPS) and Acute Care for Elders units demonstrate value in improving surgical outcomes and quality of care in this vulnerable group. These multidisciplinary approaches address physical, cognitive, and social aspects relevant to perioperative optimization.<br /><br />Additional references provide guidance on managing common perioperative complications such as acute kidney injury, urinary retention, and cardiovascular issues, tailored specifically to the older adult population. Nutritional and lifestyle considerations are included to support overall geriatric care.<br /><br />Overall, the references reflect a multidisciplinary, evidence-based approach to perioperative geriatric management that integrates risk stratification, cognitive function preservation, medication safety, shared decision-making, and coordinated care models, aiming to improve surgical outcomes and quality of life for older adults.

Keywords

Perioperative Geriatric Management

Aging and Surgical Risks

Frailty Assessment

Postoperative Cognitive Disorders

Delirium Prevention

Medication Management

Deprescribing in Elderly

Shared Decision-Making

Comprehensive Geriatric Assessment

Multidisciplinary Surgical Care