Document Type
Journal Article
Publication Date
2018
Student Program
MD
Journal
American Journal of Surgery
DOI
10.1016/j.amjsurg.2018.04.006
Abstract
Background
Informed surgical consent requires accurate estimation of risks and benefits. Multiple risk assessment tools are available; however, most are not widely used or are specific to certain interventions. Assessing surgical risk is especially challenging in elderly patients because of their range of comorbidities, level of frailty, or severity of illness and a number of available surgical interventions.
Data sources
We searched MEDLINE from January 2014 to July 2017 for studies that used risk assessment tools in studies on elderly surgical patients. We then sought the original articles describing each assessment tool and subsequent validation studies.
Conclusions
We identified risk assessment tools that can improve surgical risk assessment in elderly surgical patients. The majority of the identified tools are not commonly used for pre-operative risk assessment. NSQIP-PMP, mFI and SURPAS are promising tools. Age is commonly used to predict risk, but frailty may be a more appropriate measure.
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
APA Citation
Eamer, G., Al-Amoodi, M., Holroyd-Leduc, J., Rolfson, D., Warkentin, L., & Khadaroo, R. (2018). Review of Risk Assessment Tools to Predict Morbidity and Mortality in Elderly Surgical Patients Brief title: Review of surgical risk assessment tools. American Journal of Surgery, (). http://dx.doi.org/10.1016/j.amjsurg.2018.04.006
Peer Reviewed
1
Open Access
1
Comments
This is a PDF file of an unedited manuscript that has been accepted for publication.
Reproduced with permission of Elsevier BV. American Journal of Surgery