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2016, Number 620

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Rev Med Cos Cen 2016; 73 (620)

Fragilidad en el paciente adulto mayor sometido a cirugía

Guánchez MA
Full text How to cite this article

Language: Spanish
References: 27
Page: 623-628
PDF size: 202.38 Kb.


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ABSTRACT

The constant growth of the geriatric population is associated with an increase in the necessity of surgery for this population. The elderly patient requires particular care because of the common associated comorbidities and the decreased response to different stresses. Because of this, there have been a series of changes in the management and approach of the presurgical evaluation and perioperative management. Fragility in the elderly patient has been gaining importance as a fundamental element in risk stratification and outcome measures in surgery. Recent studies have found a direct association between fragility and postsurgical complications, increased hospital stay and mortality. Give the previous, incorporating the adequate evaluation of the elderly makes for a more adequate risk/ benefit analysis and can identify witch factors or aspects of the perioperative management can improve in order to minimize the surgical risk and optimize the results of the surgical interventions in the elderly.


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Rev Med Cos Cen. 2016;73