Algorithm for the management of the geriatric patient at the anesthesia and geriatrics preoperative consultation
Keywords:
aged, preoperative assessment, algorithm, anesthesia, consultationAbstract
Introduction: surgical procedures in elderly patients are increasingly frequent; they are characterized by a greater morbidity and mortality than in younger patients, so it is essential an appropriate preoperative assessment. Objective: to design an algorithm for the adequate elective preoperative treatment of the geriatric patient at the Arnaldo Milián Castro Hospital. Method: a descriptive and cross-sectional development study was conducted with a quantitative and qualitative approach. An intentional sample of 1346 patients, who met the inclusion criteria, was selected from a universe of 1351 patients. Results: older adults came with greater frequency in the months of February and August. Males predominated, and cases in consultations decreased as age increased. Ranchuelo was the municipality with greater inflow, and those patients who had surgical risk grade III predominated, and, in most cases, the cases of greater surgical risk were deferred. The Specialties of General Surgery and Orthopedics send most of the patients, although those who had orthopedic conditions were the most delayed in surgery, and the main causes were the decompensation of chronic diseases such as hypertension and the lack of complementary tests. Conclusions: with the participation of a focus group, an algorithm proposal was designed for the adequate management of older adults who need interconsultations of anesthesia and geriatrics. It was positively evaluated by experts who issued suggestions that allow a more complete algorithm proposal.Downloads
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15 junio 2025
