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Current Geriatrics Reports
Erschienen in: Current Geriatrics Reports 2/2018

02.03.2018 | Geriatric Orthopedics (E Meinberg, Section Editor)

An Overview of Risk Stratification in the Elderly Orthopaedic Population

verfasst von: Ryan D. Gentry, Hannah A. Dineen, Jesse C. Hahn

Erschienen in: Current Geriatrics Reports | Ausgabe 2/2018

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Abstract

Purpose of Review

Orthopaedic surgeries are occurring at an increasing frequency in the elderly patient. The goal of this review was to provide exposure to risk stratification scores to help identify high-risk elderly orthopaedic patients.

Recent Findings

New guidelines have been developed to assess the risk of cardiopulmonary and other perioperative complications. Older scoring systems, such as the American Society of Anesthesiologists (ASA) score and revised cardiac index, are still of importance as they have strong correlation with risks of cardiac and other complications. Other scoring systems, such as the Estimation of Physiologic Ability and Surgical Stress (E-PASS) score and Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (POSSUM) score, have recently been shown to stratify high-risk elderly patients undergoing hip fracture surgery and other orthopaedic surgeries.

Summary

The elderly orthopaedic patient has higher risks of perioperative complications than the younger patient. Scoring systems have been developed to help identify those patients at higher risk. Familiarity with these scoring systems will help the practitioner to appropriately select patients for surgery and guide patient counseling on risks on complications and protocols to optimize preoperative care.
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Metadaten
Titel
An Overview of Risk Stratification in the Elderly Orthopaedic Population
verfasst von
Ryan D. Gentry
Hannah A. Dineen
Jesse C. Hahn
Publikationsdatum
02.03.2018
Verlag
Springer US
Erschienen in
Current Geriatrics Reports / Ausgabe 2/2018
Elektronische ISSN: 2196-7865
DOI
https://doi.org/10.1007/s13670-017-0230-0

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