Diaconescu B.M.,Grigore T. Popa University of Medicine and Pharmacy |
Diaconescu V.M.,Institute Of Cardiovascular Diseases Prof Dr George Im Georgescu Iasi |
Ciocoiu M.,Grigore T. Popa University of Medicine and Pharmacy |
Badescu M.,Grigore T. Popa University of Medicine and Pharmacy |
Tinica G.,Institute Of Cardiovascular Diseases Prof Dr George I M Georgescu Iasi
Archives of the Balkan Medical Union | Year: 2015
The elderly represent the fastest growing segment of the population. Individuals over the age of 65 constitute a high proportion of healthcare costs and account for over 40% of all surgical procedures. Despite surgical, anaesthetic and medical advances, older surgical patients continue to suffer from adverse postoperative outcomes. Comorbidities and reduction in physiological reserve are consistently identified as major predictors of poor postoperative outcome in this population. Frailty can be defined as a lack of physiological reserve seen across multiple organ systems and is an independent predictor of mortality, morbidity and institutionalisation after surgery. The use of multimodal assessment, prevention, and intervention strategies, which combine physical activity, nutritional, psychological, medical, pharmacological, social, and environmental components have greater demonstrated efficacy, applicability to varied subgroups, and overall health care cost savings, in addition to enhancing the quality of life for those they reach. ©2015 CELSIUS.