From the *Department of Medicine, Duke University Medical Center, Durham, North Carolina †Geriatric Research, Education, and Clinical Center, Durham VA Medical Center, Durham, North Carolina Departments of ‡Anesthesia §Surgery, Duke University Medical Center, Durham VA Medical Center, Durham, North Carolina.
Anesth Analg. 2020 Jan;130(1):e14-e18. doi: 10.1213/ANE.0000000000004335.
Deciding whether to pursue elective surgery is a complex process for older adults. Comprehensive geriatric assessment (CGA) can help refine estimates of benefits and risks, at times leading to a delay of surgery to optimize surgical readiness. We describe a cohort of geriatric patients who were evaluated in anticipation of elective abdominal surgery and whose procedures were delayed for any reason. Themes behind the reasons for delay are described, and a holistic framework to guide preoperative discussion is suggested.
对于老年人来说，决定是否接受择期手术是一个复杂的过程。全面老年评估（CGA）可以帮助更准确地评估手术的获益和风险，有时会导致手术延迟以优化手术准备。我们描述了一组接受择期腹部手术评估的老年患者，他们的手术因任何原因而被延迟。描述了延迟的原因背后的主题，并提出了一个整体框架来指导术前讨论。
