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The elderly emergency surgical patient: Risk factors that alter perioperative management
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The elderly emergency surgical patient: Risk factors that alter perioperative management
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Journal Article
The elderly emergency surgical patient: Risk factors that alter perioperative management
2019
Overview
[...]of the high association between hip fracture, cognitive impairment, and the aging population, multiple retrospective reviews analyzing the incidence of delirium in this specific population have shown a rate of 30% to 60% specifically in patients with hip fractures [2,3]. In this issue of Journal of Clinical Anesthesia, Harris et al. retrospectively analyzed American College of Surgeons National Surgical Quality Improvement Program – Geriatric Surgery Pilot project data to identify potential clinical predictors of postoperative delirium, functional status, and mortality after hip fracture surgery [4]. [...]preoperative screening of a patient's baseline cognitive impairment and the reason for that (opioid use and/or lack of pain control versus undiagnosed cognitive impairment) implemented prior to an emergency procedure as a standardized protocol for this vulnerable patient population would be a positive future direction in the perioperative care of this patient population, even prior to emergency procedures.
