Goals. To describe the purpose of the preoperative assessment To provide strategies to minimize operative risks . The Big Question: Should this patient go for surgery ?. - goal of surgery - urgency of surgery ( elective, urgent, emergent) - patient’s/family’s goals and wishes
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- goal of surgery
- urgency of surgery (elective, urgent, emergent)
- patient’s/family’s goals and wishes
- baseline function, co-morbidities
- life expectancy
- anticipated outcomes/complications
Cassel CK, Leipzig RM, Cohen HJ, et al. Geriatric Medicine: An Evidence Based Approach, 4th ed. New York: Springer; 2003.
Corti M. Serum albumin level and physical disability as predictors of mortality in older persons. JAMA1994;272:1036.