ReviewDeutsches Arzteblatt international2019
The Perioperative Care of Older Patients.
Review in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.
- Age-Related Risk Factors in Ventral Hernia Repairs: A Review and Call to Action.The Journal of surgical research · 2021Pooled it
- Induction of General Anesthesia with Fospropofol in Elderly Patients Undergoing Hip Surgery: An Efficacy and Safety Analysis.Drug design, development and therapy · 2026Trial
- Interprofessional and interdisciplinary management of nonwithdrawal delirium in a geriatric trauma center-A practical guide.Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- Elective Lumbar Decompression With Fusion Is Associated With Increased Mortality Compared With Decompression Alone: A National Propensity-Matched Analysis of Aging Cohorts.Global spine journal · 2026Article
- Contemporary preoperative assessment for colorectal surgery: new insights and developments.BMJ open gastroenterology · 2026Review
- [Intensive care of elderly patients : Core nursing responsibilities and central care priorities].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Exploratory analysis of depressive symptom trajectories before and after hip or knee arthroplasty in geriatric patients.Archives of orthopaedic and trauma surgery · 2026Article
- The "male-female health-survival paradox" in frail patients undergoing hip replacement.BMC surgery · 2026Article
- Enhancing vascular surgery outcomes through geriatric co-management: a study on the impact of the POPS team.Annals of the Royal College of Surgeons of England · 2025Article
- Frailty as a predictor of postoperative morbidity and mortality in older patients undergoing emergency laparotomy: a prospective cohort study in Yemen.BMC geriatrics · 2025Article
- Elevated risk of perioperative ischemic stroke in noncardiac surgery patients with atrial fibrillation: a retrospective cohort study.BMC anesthesiology · 2025Article
- "Eat Enough"-A nurse-led intervention to enhance hospitalized older adults' protein and energy nutrition.International journal of nursing knowledge · 2025Article
- Impressive Short-Term Improvement in Functional Outcome and Quality of Life after Primary Total Hip Arthroplasty (THA) in the Orthogeriatric Patient in a Prospective Monocentric Trial.Journal of clinical medicine · 2024Article
- Knowledge, attitudes, and practice toward postoperative cognitive dysfunction among anesthesiologists in China: a cross-sectional study.BMC medical education · 2024Article
- Nutritional care in patients undergoing laparoscopic/minimally invasive surgeries for gastrointestinal tumours.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Review
- Frailty: the perioperative and anesthesia challenges of an emerging pandemic.Journal of anesthesia · 2023Review
- Recent advances in geriatric anaesthesia.Indian journal of anaesthesia · 2023Article
- Special orthopaedic geriatrics (SOG) - a new multiprofessional care model for elderly patients in elective orthopaedic surgery: a study protocol for a prospective randomized controlled trial of a multimodal intervention in frail patients with hip and knee replacement.BMC musculoskeletal disorders · 2022Article
- Postoperative Nutrition Management: Who Needs What?Visceral medicine · 2022Review
- Geriatric assessment and medical preoperative screening (GrAMPS) program for older hernia patients.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundElderly patients are a growing and vulnerable group with an elevated perioperative risk. Perioperative treatment pathways that take these patients' special risks and requirements into account are often not implemented in routine clinical practice.
methodsThis review is based on pertinent publications retrieved by a selective search in PubMed, the AWMF guideline database, and the Cochrane database for guidelines from Germany and abroad, meta-analyses, and Cochrane reviews.
resultsThe care of elderly patients who need surgery calls for an interdisciplinary, interprofessional treatment concept. One component of this concept is preoperative preparation of the patient ("prehabilitation"), which is best initiated before hospital admission, e.g., correction of deficiency states, optimization of chronic drug treatment, and respiratory training. Another important component consists of pre-, intra-, and postoperative measures to prevent delirium, which can lower the frequency of this complication by 30-50%: these include orientation aids, avoidance of inappropriate drugs for elderly patients, adequate analgesia, early mobilization, short fasting times, and a perioperative nutrition plan. Preexisting cognitive impairment predisposes to postoperative delirium (odds ratios [OR] ranging from 2.5 to 4.5). Frailty is the most important predictor of the postoperative course (OR: 2.6-11). It follows that preoperative assessment of the patient's functional and cognitive status is essential. CONCLUZION: The evidence-based and guideline-consistent care of elderly patients requires not only close interdisciplinary, interprofessional, and cross-sectoral collaboration, but also the restructuring and optimization of habitual procedural pathways in the hospital. Elderly patients' special needs can only be met by a treatment concept in which the entire perioperative phase is considered as a single, coherent process.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.