Article (Scientific journals)
est-il possible d’intégrer la fragilité gériatrique dans le risque chirurgical ?
Petermans, Jean
2008In Revue Médicale de Liège, 63 (12), p. 722-728
Peer reviewed
 

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Keywords :
Frailty - Elderly - Surgical risk - Functional decline
Abstract :
[en] Frailty in the elderly is an important factor of morbidity, particularly in the setting of surgery. The various pathologies that can lead to a functional decline are well known. The risk of mortality and morbidity should be assessed as a function of the nature of the surgical procedure and of the disease for which it is required; the factors of severity, the predictable duration of the procedure, and the expected blood losses must also be taken into account. The thrombo-embolic risk should finally be considered. In the elderly, one may say that the functional risk matters more than the vital risk. Frailty must be integrated into the risk assessment; however, further studies are needed to better determine the impact of that new concept. Undoubtedly, the cognitive and nutritional status are of main importance. A better knowledge of the risks should lead to validate specific interventions that could help to prevent surgical complications, shorten the length of hospital stay, and protect the self-sufficiency of the aged.
Disciplines :
Geriatrics
Author, co-author :
Petermans, Jean ;  Université de Liège - ULiège > Département des sciences cliniques > Gériatrie
Language :
English
Title :
est-il possible d’intégrer la fragilité gériatrique dans le risque chirurgical ?
Publication date :
December 2008
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Hopital de Baviere, Liège, Belgium
Volume :
63
Issue :
12
Pages :
722-728
Peer reviewed :
Peer reviewed
Available on ORBi :
since 02 March 2009

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