Improving Outcomes for Elderly Patients Following Emergency Surgery: a Cutting-edge Review

James M. Halle-smith, David N. Naumann, Susan L. Powell, Laura K. Naumann, Ewen A. Griffiths

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Abstract

Purpose of Review
The aim of this review is to explore the consequence of emergency general surgery in the elderly, and to summarise recent developments in the pre-, peri- and postoperative management of these patients, in order to improve outcomes.

Recent Findings
Preoperatively, accurate risk assessment is vital to ensure the right patients undergo emergency surgery. Perioperatively, there are multiple interventions specific to elderly patients that have been shown to improve outcomes. Postoperatively, elderly patients must be cared more in an appropriate setting in order to avoid failure to rescue and promote return to function.

Summary
This review of contemporary evidence identifies multiple pre-, peri- and postoperative interventions that can improve outcomes for elderly patients after emergency general surgery. These evidence-based recommendations should help direct care of elderly patients undergoing emergency surgery and foster further quality improvement measures and research investigations.
Original languageEnglish
Pages (from-to)396-404
JournalCurrent Anesthesiology Reports
Volume11
Issue number4
Early online date25 Nov 2021
DOIs
Publication statusPublished - 1 Dec 2021

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