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Best Pract Res Clin Anaesthesiol. 2016 Jun;30(2):131-43. doi: 10.1016/j.bpa.2016.04.005. Epub 2016 May 5.

Preoperative patient assessment: Identifying patients at high risk.

Author information

1
Department of Anesthesiology and Intensive Care, University Clinic Bonn, Bonn, Germany.
2
Department of Anesthesiology and Intensive Care, University Clinic Bonn, Bonn, Germany. Electronic address: Andreas.Hoeft@ukb.uni-bonn.de.

Abstract

Postoperative mortality remains alarmingly high with a mortality rate ranging between 0.4% and 4%. A small subgroup of multimorbid and/or elderly patients undergoing different surgical procedures naturally confers the highest risk of complications and perioperative death. Therefore, preoperative assessment should identify these high-risk patients and stratify them to individualized monitoring and treatment throughout all phases of perioperative care. A "tailored" perioperative approach might help further reduce perioperative morbidity and mortality. This article aims to elucidate individual morbidity-specific risks. It further suggests approaches to detect patients at the risk of perioperative complications.

KEYWORDS:

biomarkers; perioperative risk; postoperative mortality; preoperative risk assessment; risk score

PMID:
27396802
DOI:
10.1016/j.bpa.2016.04.005
[Indexed for MEDLINE]

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