Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study

Pasquale Abete; Antonio Cherubini; Mauro Di Bari; Carlo Vigorito; Giorgio Viviani; Niccolò Marchionni; Daniele D'Ambrosio; Alessandro Golino; Rocco Serra; Elena Zampi; Ilaria Bracali; Annamaria Mello; Alessandra Vitelli; Giuseppe Rengo; Francesco Cacciatore; Franco Rengo

doi:10.1016/j.amjsurg.2015.04.016

Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study

Pasquale Abete, Antonio Cherubini, Mauro Di Bari, Carlo Vigorito, Giorgio Viviani, Niccolò Marchionni, Daniele D'Ambrosio, Alessandro Golino, Rocco Serra, Elena Zampi, Ilaria Bracali, Annamaria Mello, Alessandra Vitelli, Giuseppe Rengo, Francesco Cacciatore, Franco Rengo

Research output: Contribution to journal › Article › peer-review

Abstract

Background The evaluation of surgical risk is crucial in elderly patients. At present, there is little evidence of the usefulness of comprehensive geriatric assessment (CGA) as a part of the overall assessment of surgical elderly patients. Methods We verified whether CGA associated with established surgical risk assessment tools is able to improve the prediction of postoperative morbidity and mortality in 377 elderly patients undergoing elective surgery. Results Overall mortality and morbidity were 2.4% and 19.9%, respectively. Multivariate analysis showed that impaired cognitive function (odds ratio [OR], 1.33; 95% confidence interval [CI], 1.15 to 4.22; P

Original language	English
Pages (from-to)	76-83
Number of pages	8
Journal	American Journal of Surgery
Volume	211
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2015.04.016
Publication status	Published - Jan 1 2016

Keywords

Comprehensive geriatric assessment
Elderly patient
Morbidity
Mortality
Surgical risk

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2015.04.016

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Abete, P., Cherubini, A., Di Bari, M., Vigorito, C., Viviani, G., Marchionni, N., D'Ambrosio, D., Golino, A., Serra, R., Zampi, E., Bracali, I., Mello, A., Vitelli, A., Rengo, G., Cacciatore, F., & Rengo, F. (2016). Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study. American Journal of Surgery, 211(1), 76-83. https://doi.org/10.1016/j.amjsurg.2015.04.016

Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study. / Abete, Pasquale; Cherubini, Antonio; Di Bari, Mauro; Vigorito, Carlo; Viviani, Giorgio; Marchionni, Niccolò; D'Ambrosio, Daniele; Golino, Alessandro; Serra, Rocco; Zampi, Elena; Bracali, Ilaria; Mello, Annamaria; Vitelli, Alessandra; Rengo, Giuseppe; Cacciatore, Francesco; Rengo, Franco.

In: American Journal of Surgery, Vol. 211, No. 1, 01.01.2016, p. 76-83.

Research output: Contribution to journal › Article › peer-review

Abete, P, Cherubini, A, Di Bari, M, Vigorito, C, Viviani, G, Marchionni, N, D'Ambrosio, D, Golino, A, Serra, R, Zampi, E, Bracali, I, Mello, A, Vitelli, A, Rengo, G, Cacciatore, F & Rengo, F 2016, 'Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study', American Journal of Surgery, vol. 211, no. 1, pp. 76-83. https://doi.org/10.1016/j.amjsurg.2015.04.016

Abete, Pasquale ; Cherubini, Antonio ; Di Bari, Mauro ; Vigorito, Carlo ; Viviani, Giorgio ; Marchionni, Niccolò ; D'Ambrosio, Daniele ; Golino, Alessandro ; Serra, Rocco ; Zampi, Elena ; Bracali, Ilaria ; Mello, Annamaria ; Vitelli, Alessandra ; Rengo, Giuseppe ; Cacciatore, Francesco ; Rengo, Franco. / Does comprehensive geriatric assessment improve the estimate of surgical risk in elderly patients? An Italian multicenter observational study. In: American Journal of Surgery. 2016 ; Vol. 211, No. 1. pp. 76-83.

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