Background Surgical outcomes in geriatric patients may be complicated by factors such as multiple comorbidities, low functional performance, frailty, reduced homeostatic capacity, and cognitive impairment. An integrated multidisciplinary approach to management is, therefore, essential in this population, but at present, the use of such an approach is uncommon. The Perioperative Management of Elderly patients (PriME) project has been established to address this issue. Aims To develop evidence-based recommendations for the integrated care of geriatric surgical patients. Methods A 14-member Expert Task Force of surgeons, anesthetists, and geriatricians was established to develop evidence-based recommendations for the pre-, intra-, and postoperative care of hospitalized older patients (>= 65 years) undergoing elective surgery. A modified Delphi approach was used to achieve consensus, and the strength of recommendations and quality of evidence was rated using the U.S. Preventative Services Task Force criteria. Results A total of 81 recommendations were proposed, covering preoperative evaluation and care (30 items), intraoperative management (19 items), and postoperative care and discharge (32 items). Conclusions These recommendations should facilitate the multidisciplinary management of older surgical patients, integrating the expertise of the surgeon, the anesthetist, the geriatrician, and other specialists and health care professionals (where available) as needed. These roles may vary according to the phase and setting of care and the patient's conditions.

Aceto, P., Antonelli Incalzi, R., Bettelli, G., Carron, M., Chiumiento, F., Corcione, A., Crucitti, A., Maggi, S., Montorsi, M., Pace, M. C., Petrini, F., Tommasino, C., Trabucchi, M., Volpato, S., Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus, <<AGING CLINICAL AND EXPERIMENTAL RESEARCH>>, 2020; 32 (9): 1647-1673. [doi:10.1007/s40520-020-01624-x] [https://hdl.handle.net/10807/232037]

Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus

Aceto, Paola;Crucitti, Antonio;
2020

Abstract

Background Surgical outcomes in geriatric patients may be complicated by factors such as multiple comorbidities, low functional performance, frailty, reduced homeostatic capacity, and cognitive impairment. An integrated multidisciplinary approach to management is, therefore, essential in this population, but at present, the use of such an approach is uncommon. The Perioperative Management of Elderly patients (PriME) project has been established to address this issue. Aims To develop evidence-based recommendations for the integrated care of geriatric surgical patients. Methods A 14-member Expert Task Force of surgeons, anesthetists, and geriatricians was established to develop evidence-based recommendations for the pre-, intra-, and postoperative care of hospitalized older patients (>= 65 years) undergoing elective surgery. A modified Delphi approach was used to achieve consensus, and the strength of recommendations and quality of evidence was rated using the U.S. Preventative Services Task Force criteria. Results A total of 81 recommendations were proposed, covering preoperative evaluation and care (30 items), intraoperative management (19 items), and postoperative care and discharge (32 items). Conclusions These recommendations should facilitate the multidisciplinary management of older surgical patients, integrating the expertise of the surgeon, the anesthetist, the geriatrician, and other specialists and health care professionals (where available) as needed. These roles may vary according to the phase and setting of care and the patient's conditions.
2020
Inglese
Aceto, P., Antonelli Incalzi, R., Bettelli, G., Carron, M., Chiumiento, F., Corcione, A., Crucitti, A., Maggi, S., Montorsi, M., Pace, M. C., Petrini, F., Tommasino, C., Trabucchi, M., Volpato, S., Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus, <<AGING CLINICAL AND EXPERIMENTAL RESEARCH>>, 2020; 32 (9): 1647-1673. [doi:10.1007/s40520-020-01624-x] [https://hdl.handle.net/10807/232037]
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/232037
Citazioni
  • ???jsp.display-item.citation.pmc??? 13
  • Scopus 52
  • ???jsp.display-item.citation.isi??? 46
social impact