ReviewFederal practitioner : for the health care professionals of the VA, DoD, and PHS2026
Perioperative Considerations for Orthopedic Surgery in a Geriatric Population.
Review in Federal practitioner : for the health care professionals of the VA, DoD, and PHS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
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Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: With more than half of orthopedic surgeries performed on patients aged ≥ 65 years, optimizing perioperative care in this population is essential. Age-related physiologic changes, multimorbidity, and frailty significantly increase surgical risks, including infection, venous thromboembolism, impaired wound healing, delirium, and prolonged recovery. Effective perioperative management strategies are essential to reduce morbidity and improve functional outcomes. Observations: Using tools such as the Fracture Risk Assessment Tool and the Comprehensive Geriatric Assessment, frailty screening aids in identifying high-risk patients and guiding perioperative care. Preoperative strategies focus on controlling comorbidities, such as optimizing glycemic control for patients with diabetes to reduce the risk of postoperative complications. Assessing the mechanism of injury can provide valuable information about underlying conditions. Comprehensive nutritional evaluation is essential for geriatric patients undergoing orthopedic surgery, since malnutrition is common in this population and may impair recovery and increase morbidity. Postoperative management emphasizes early mobilization, delirium prevention, infection control, and anticoagulation management to reduce complications and improve recovery. Conclusions: Perioperative management of geriatric orthopedic patients requires a proactive, multidisciplinary approach that integrates preoperative risk assessment, intraoperative vigilance, and targeted postoperative care. Identifying and addressing frailty, optimizing nutrition, and implementing structured plans for screening and rehabilitation are essential to reduce complications and enhancing recovery.
Identifiers
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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.