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

P. Abete, Antonio Cherubini, M. Di Bari, Carlo Vigorito, Giorgio Viviani, Niccolò Marchionni, D. D'Ambrosio, Alessandro Golino, R. Serra, E. Zampi, Ilaria Bracali, Annamaria Mello, Alessandra Vitelli, Giuseppe Rengo, Francesco Cacciatore, Franco Rengo

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)76-83
Number of pages8
JournalAmerican Journal of Surgery
Volume211
Issue number1
DOIs
Publication statusPublished - Jan 1 2016

Keywords

  • Comprehensive geriatric assessment
  • Elderly patient
  • Morbidity
  • Mortality
  • Surgical risk

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    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