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>Journals >Cirugía y Cirujanos >Year 2006, Issue 1

Martínez GL, Nellen-Hummel H, Hamui-Sutton A, Castañón-González JA, Ibarra-Herrera E, Halabe-Cherem J
Perioperative evaluation in elderly patients
Cir Cir 2006; 74 (1)

Language: Español
References: 28
Page: 59-68
PDF: 83.47 Kb.

Full text


With the multiple advances in the field of medicine and the resulting increase in life expectancy, the population pyramid is showing a tendency towards inversion; each day it becomes more feasible to surgically treat elderly patients. These patients represent a challenge not only because of the comorbidity that generally is associated with the elderly patient, but because of the multiple endemic physiological changes that alter and usually diminish their ability to cope with stressful situations. The elderly also experience social, economic and motivational problems during their illnesses, which should be considered during the surgical period in order to optimize the results of surgery and contribute to improve the quality of life of our patients. The approach with patients >65 years of age during the perioperative period should be multifactorial. It is necessary to acknowledge the physiological changes, poly-pathology, poly-pharmaceutical, and social situation of our elderly patients since these are factors that will determine their response to, and recuperation from, the surgical treatment.

Key words: Perioperative evaluation, surgery in elderly, geriatric medicine.


  1. Richardson JD, Cacanour CS, Kern JA. Perioperative risk assessment in elderly and high-risk patients. J Am Coll Surg 2004;199(1):133-145.

  2. Gallagher P, Clark K. The ethics of surgery in the elderly demented patient with bowel obstruction. J Med Ethics 2002;28:105-108.

  3. Boldt J, Huttner I, Suttner ST. Changes of haemostasis in patients undergoing major abdominal surgery-is there a difference between elderly and younger patients? Br J Aneaesth 2001;87(3):435-440.

  4. Milne AC, Potter J, Avenell A. Oral protein and energy supplements reduce all-cause mortality in elderly persons. ACP Journal Club 2003;138:Issue 3.

  5. Srinivasan AK, Oo AY, Greyson AD. Mid-term survival after cardiac surgery in elderly patients: analysis of predictors for increased mortality. Interactive Cardiovasc Thorac Surg 2004;3:289-293.

  6. Barkin RL, Barkin SJ, Barkin DS. Perception, assessment, treatment, and management of pain in the elderly. Clin Geriatr Med 2005;21:465-490.

  7. Thompson JC. Introduction: Symposium of surgery in the elderly patient, part 2. J Am Coll Surg 2005;200:766.

  8. García-Miguel FJ, Serrano-Aguilar PG, López-Bastida J. Preoperative assessment. Lancet 2003;362:1749-1757.

  9. Rosenthal RA. Nutritional concerns in the older surgical patient. J Am Coll Surg 2004;199(5):785-791.

  10. Hamel MB, Teno JM, Goldman L. Patient age and decisions to withhold life-sustaining treatments from seriously ill, hospitalized adults. Ann Intern Med 1999;130:116-125.

  11. CONAPO. Habrá en México cerca de 8.2 millones de adultos mayores a mediados de 2005. Comunicado de prensa 04/05.

  12. Laklitsch MT, Meri CM, Ausisio RA. The use of surgery to treat cancer in elderly patients. Lancet Oncol 2003;4:463-471.

  13. John AD, Sieber FE. Age associated issues: geriatrics. Anesthesiology Clin N Am 2004;22:45-58.

  14. Rooke GA. Cardiovascular aging and anesthetic implications. J Cardiothorac Vasc Anesth 2003;17(4):512-523.

  15. Crowe S. Anaesthesia and the older surgical patient: something old, something new, something borrowed… Age Ageing 2004;22:4-5.

  16. Aust JB, Henderson W, Khuri S. The impact of operative complexity on patient risk factors. Ann Surg 2005;241:1024-1028.

  17. Halabe J, Lifshitz A. Valoración perioperatoria integral en el adulto. 3ª ed. Limusa, Editorial Noriega; 2004.

  18. Smetana GW, Cohn SL, Lawrence VA. Update in perioperative medicine. Ann Intern Med 2004;140:452-461.

  19. Polanczyk CA, Marcantonio E, Goldman L. Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery. Ann Intern Med 2001;134:637-643.

  20. Baylis C, Corman B. The aging kidney: insights from experimental studies. J Am Soc Nephrol 1998;9:699-709.

  21. Greenwald DA. Aging, the gastrointestinal tract, and risk of acidrelated disease. Am J Med 2004;117(5A):8S-13S.

  22. INEGI Sistema Estadístico de Información Geográfica. México 2002

  23. Thoracic surgery in the elderly. J. Am Coll Surg 2004.

  24. Eagle KA, Berger PB, Calkins H. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery: executive summary: a report of the American Collage of Cardiology/American Heart Association task force on practice guidelines (Committee to update the 1996 guidelines on perioperative cardiovascular evaluation for noncardiac surgery). Circulation 2002;105:1257-1267.

  25. Prough DS. Anesthetic pitfalls in the elderly patient. J Am Coll Surg 2005;200(5)784-794.

  26. Mancuso C. Impact of new guidelines on physicians ordering of preoperative tests. J Gen Intern Med 1999;14:166-172.

  27. McLean AJ, Aging biology and geriatric clinical pharmacology. Pharmacol Rev 2004;56:163-184.

  28. Gavazzi G, Krause KH. Aging and infection. Lancet Infect Dis 2002;2:659-666.

>Journals >Cirugía y Cirujanos >Year 2006, Issue 1

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