The medical evaluation and management of the elderly surgical patient.

Abstract:

:Contrary to earlier findings, elderly patients are not at significantly greater risk of perioperative morbidity or mortality than younger patients simply because of advanced age. Increased risk, when present, is attributable to pathologic changes that are not uniformly seen in all geriatric patients. Most perioperative morbidity is caused by cardiovascular and pulmonary complications. The author discusses an appropriate preoperative evaluation and recommends selective ancillary tests to screen for high-risk patients.

journal_name

J Am Geriatr Soc

authors

Johnson JC

doi

10.1111/j.1532-5415.1983.tb04606.x

subject

Has Abstract

pub_date

1983-10-01 00:00:00

pages

621-5

issue

10

eissn

0002-8614

issn

1532-5415

journal_volume

31

pub_type

杂志文章
  • Multimorbidity Frameworks Impact Prevalence and Relationships with Patient-Important Outcomes.

    abstract:OBJECTIVES:To explore how different frameworks and categories of chronic conditions impact multimorbidity (defined as two or more chronic conditions) prevalence estimates and associations with patient-important functional outcomes. DESIGN:Baseline data from a population-based cohort study. SETTING:National sample of ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15921

    authors: Griffith LE,Gilsing A,Mangin D,Patterson C,van den Heuvel E,Sohel N,St John P,van den Akker M,Raina P

    更新日期:2019-08-01 00:00:00

  • Community-acquired bacteremia in the elderly: analysis of one hundred consecutive episodes.

    abstract::A retrospective analysis was made of the records of 100 consecutive geriatric patients with community-acquired bacteremia, admitted to a suburban hospital. The most frequently identified tissue sources for these bacteremias were the urinary tract (34 percent), biliary tract (20 percent), and lungs (13 percent). In 11 ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb00622.x

    authors: Esposito AL,Gleckman RA,Cram S,Crowley M,McCabe F,Drapkin MS

    更新日期:1980-07-01 00:00:00

  • Osteoporosis Treatment Efficacy for Men: A Systematic Review and Meta-Analysis.

    abstract:OBJECTIVES:To evaluate the efficacy of treatment options to reduce osteoporotic fracture risk in men. DESIGN:Systematic review and meta-analysis. SETTING:Randomized clinical trials that evaluated the efficacy of a treatment for osteoporosis or low bone mineral density for adult men and reported fracture outcomes. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jgs.14668

    authors: Nayak S,Greenspan SL

    更新日期:2017-03-01 00:00:00

  • Elderly applicants to long-term care institutions. II. The application process; placement and care needs.

    abstract::As part of a study of long-term institutional care of the elderly, this report presents salient data concerning 193 elderly applicants. Physicians play an important role in decisions to apply for such care. More than half of the applicants and about 80% of their family members approved of the proposed move. The number...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1976.tb04293.x

    authors: Kraus AS,Spasoff RA,Beattie EJ,Holden DE,Lawson JS,Rodenburg M,Woodcock GM

    更新日期:1976-04-01 00:00:00

  • Patterns of diagnoses, comorbidities, and treatment in late-middle-aged and older affective disorder patients: comparison of mental health and medical sectors.

    abstract:OBJECTIVE:To compare the diagnoses, psychiatric and medical comorbidities, and prior and current treatment received by late-middle-aged and older affective disorder patients in mental health and medical service settings and to identify predictors of these patients' length of inpatient care. DESIGN:Department of Vetera...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb01832.x

    authors: Moos RH,Mertens JR

    更新日期:1996-06-01 00:00:00

  • Effect of cataract surgery on falls and mobility in independently living older adults.

    abstract:OBJECTIVES:To determine the effect of cataract surgery on the occurrence of falls and mobility and balance problems in older adults with cataract. DESIGN:Longitudinal follow-up study. SETTING:Clinical Research Unit, University of Alabama at Birmingham. PARTICIPANTS:Persons aged 55 and older with a cataract were recr...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2006.00770.x

    authors: McGwin G Jr,Gewant HD,Modjarrad K,Hall TA,Owsley C

    更新日期:2006-07-01 00:00:00

  • Leukocyte telomere length is associated with disability in older u.s. Population.

    abstract:OBJECTIVES:To determine whether mean leukocyte telomere length (LTL) serves as a biomarker of disability assessed according to activities of daily living (ADLs) and what factors may modify this relationship. DESIGN:Retrospective cross-sectional study. SETTING:A subset of the National Long Term Care Survey (NTLCS), a ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.02948.x

    authors: Risques RA,Arbeev KG,Yashin AI,Ukraintseva SV,Martin GM,Rabinovitch PS,Oshima J

    更新日期:2010-07-01 00:00:00

  • Validation of a measure of physical illness burden at autopsy: the Cumulative Illness Rating Scale.

    abstract:OBJECTIVE:To further validate an objective measure of physical illness burden, the Cumulative Illness Rating Scale (CIRS). DESIGN:Survey with correlation of CIRS ratings made from physician interviews and review of medical records with post-mortem ratings made independently at tissue autopsy. SUBJECTS:Victims of comp...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1993.tb05945.x

    authors: Conwell Y,Forbes NT,Cox C,Caine ED

    更新日期:1993-01-01 00:00:00

  • Psychometric characteristics of the minimum data set II: validity.

    abstract:OBJECTIVE:To determine the validity of the Minimum Data Set (MDS). DESIGN:MDS domain scores were correlated with a variety of independently obtained measures of basic behavioral and mental health functions of 513 nursing home residents. SETTING:All participants were residents of the Philadelphia Geriatric Center. PA...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb03809.x

    authors: Lawton MP,Casten R,Parmelee PA,Van Haitsma K,Corn J,Kleban MH

    更新日期:1998-06-01 00:00:00

  • What Is an Observation Stay? Evaluating the Use of Hospital Observation Stays in Medicare.

    abstract:BACKGROUND/OBJECTIVES:Observation stays are increasingly common for older adults, yet little is known about the extent to which they are being used as the Centers for Medicare and Medicaid Services (CMS) originally intended for unscheduled or acute problems and whether different types of services are reflected in curre...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16441

    authors: Powell WR,Kaiksow FA,Kind AJH,Sheehy AM

    更新日期:2020-07-01 00:00:00

  • Selecting target conditions for quality of care improvement in vulnerable older adults.

    abstract:OBJECTIVE:To identify a set of geriatric conditions as optimal targets for quality improvement to be used in a quality measurement system for vulnerable older adults. DESIGN:Discussion and two rounds of ranking of conditions by a panel of geriatric clinical experts informed by literature reviews. METHODS:A list of 78...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04691.x

    authors: Sloss EM,Solomon DH,Shekelle PG,Young RT,Saliba D,MacLean CH,Rubenstein LZ,Schnelle JF,Kamberg CJ,Wenger NS

    更新日期:2000-04-01 00:00:00

  • Of worms and women: sarcopenia and its role in disability and mortality.

    abstract::The loss of muscle mass during aging has been termed sarcopenia. Sarcopenia results in a decrease in physical strength during aging that results in important consequences for more severely affected individuals in terms of function and as a marker for disability and increased mortality. Despite the clinical importance ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2004.52320.x

    authors: Fisher AL

    更新日期:2004-07-01 00:00:00

  • Assistive technology use of older American Indians in a southeastern tribe: the native elder care study.

    abstract::The objectives of this study were to examine the prevalence of assistive technology (AT) use, type of assistance used for each activity of daily living (ADL) limitation, and correlates of AT use among Native Indian aged 55 and older. Data were collected as part of a cross-sectional study of disability with 505 members...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.03140.x

    authors: Goins RT,Spencer SM,Goli S,Rogers JC

    更新日期:2010-11-01 00:00:00

  • Can a short period of micronutrient supplementation in older institutionalized people improve response to influenza vaccine? A randomized, controlled trial.

    abstract:OBJECTIVES:To test the hypothesis that a micronutrient supplement can improve seroconversion after influenza immunization in older institutionalized people. DESIGN:: Randomized, double-blind, placebo-controlled study. SETTING:Nursing and residential homes in Liverpool, United Kingdom. PARTICIPANTS:One hundred sixty-...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1532-5415.2004.52005.x

    authors: Allsup SJ,Shenkin A,Gosney MA,Taylor S,Taylor W,Hammond M,Zambon MC

    更新日期:2004-01-01 00:00:00

  • Mortality associated with hip fractures in a single geriatric hospital and residential health facility: a ten-year review.

    abstract::Mortality in 159 patients who sustained 163 hip fractures in a single geriatric hospital and residential health facility in a ten-year period was studied. This study confirms the major problem of mortality associated with hip fractures in the very elderly. Factors that seemed associated with mortality were preoperativ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1983.tb05119.x

    authors: Crane JG,Kernek CB

    更新日期:1983-08-01 00:00:00

  • The role of smoking and other modifiable lifestyle risk factors in maintaining and restoring lower body mobility in middle-aged and older Americans: results from the HRS and AHEAD. Health and Retirement Study. Asset and Health Dynamics Among the Oldest Ol

    abstract:OBJECTIVES:To analyze the effect of smoking, smoking cessation, and other modifiable risk factors on mobility in middle-aged and older Americans. DESIGN:Panel study; secondary data analysis. SETTING:United States (national sample). PARTICIPANTS:The Health and Retirement Study (HRS) includes data on 12,652 Americans ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50164.x

    authors: Ostbye T,Taylor DH Jr,Krause KM,Van Scoyoc L

    更新日期:2002-04-01 00:00:00

  • Description of the National Pressure Ulcer Long-Term Care Study.

    abstract:OBJECTIVES:To describe and provide baseline data from The National Pressure Ulcer Long-Term Care Study (NPULS). DESIGN:Retrospective cohort study of detailed resident characteristics, treatments, and outcomes using convenience sampling. SETTING:One hundred nine long-term care facilities throughout the United States. ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1046/j.1532-5415.2002.50510.x

    authors: Horn SD,Bender SA,Bergstrom N,Cook AS,Ferguson ML,Rimmasch HL,Sharkey SS,Smout RJ,Taler GA,Voss AC

    更新日期:2002-11-01 00:00:00

  • Hospice Care of Veterans in Medicare Advantage and Traditional Medicare: A Risk-Adjusted Analysis.

    abstract:OBJECTIVES:To compare the quality of end-of-life care in Medicare Advantage (MA) and traditional Medicare (TM), specifically, receipt and length of hospice care. DESIGN:Retrospective analysis of administrative data. SETTING:Hospice care. PARTICIPANTS:Veterans dually enrolled in the Veterans Health Administration (VH...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15434

    authors: Gidwani-Marszowski R,Kinosian B,Scott W,Phibbs CS,Intrator O

    更新日期:2018-08-01 00:00:00

  • Effects of health status on word finding in aging.

    abstract:OBJECTIVES:To evaluate effects of health status on word-finding difficulty in aging, adjusting for the known contributors of education, sex, and ethnicity. DESIGN:Cross-sectional. SETTING:Community. PARTICIPANTS:Two hundred eighty-four adults aged 55 to 85 (48.6% female) participating in an ongoing longitudinal stud...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02559.x

    authors: Albert ML,Spiro A 3rd,Sayers KJ,Cohen JA,Brady CB,Goral M,Obler LK

    更新日期:2009-12-01 00:00:00

  • Tongue strength is associated with jumping mechanography performance and handgrip strength but not with classic functional tests in older adults.

    abstract:OBJECTIVES:To determine whether classic muscle function tests and jumping mechanography (JM) are related to tongue strength. DESIGN:Cross-sectional. SETTING:Community. PARTICIPANTS:Ninety-seven community-dwelling individuals aged 70 and older (49 female, 48 male, mean age 80.7, range 70-95) with and without identifi...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.12124

    authors: Buehring B,Hind J,Fidler E,Krueger D,Binkley N,Robbins J

    更新日期:2013-03-01 00:00:00

  • The aging thyroid. I. A description of lesions and an analysis of their age and sex distribution.

    abstract::Two types of follicular change in the thyroid are described. The first represents an involutional change in which colloid cysts (macrofollicles) are often found. The second represents a hyperplastic-dysplastic (microfollicular) lesion. Two types of change in calcitonin (C) cells are also described, one of which may re...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1987.tb02337.x

    authors: Blumenthal HT,Perlstein IB

    更新日期:1987-09-01 00:00:00

  • Incidence of in-hospital falls in geriatric patients before and after the introduction of an interdisciplinary team-based fall-prevention intervention.

    abstract::Falls are among the most common unwanted events in older hospital inpatients, but evidence of effective prevention is still limited compared with that in the community and in long-term care facilities. This article describes a prevention program and its effects on the incidence of falls in geriatric hospital wards. It...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01424.x

    authors: von Renteln-Kruse W,Krause T

    更新日期:2007-12-01 00:00:00

  • A plan for regional medical health centers for the geriatric patient.

    abstract::A rough plan is proposed which may facilitate the care of geriatric patients. The plan is to introduce pilot programs of geriatric regional centers attached to Veteran's Administration hospitals. Thus, at minimal cost, the problems of geriatric medicine would be under the supervision of our excellent university medica...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1966.tb03082.x

    authors: Dawson D

    更新日期:1966-05-01 00:00:00

  • Reviews of individual patient data (IPD) are useful for geriatrics: an overview of available IPD reviews.

    abstract:OBJECTIVES:To determine how many individual patient data (IPD) reviews that included older people were available in MEDLINE and whether the effectiveness of treatments differed between older and younger individuals. DESIGN:Overview of IPD reviews. SETTING:A MEDLINE search was conducted for IPD reviews of randomized c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/jgs.12830

    authors: van de Glind EM,Rhodius-Meester HF,Reitsma JB,Hooft L,van Munster BC

    更新日期:2014-06-01 00:00:00

  • A Hospital Partnership with a Nursing Home Experiencing a COVID-19 Outbreak: Description of a Multiphase Emergency Response in Toronto, Canada.

    abstract::Nursing homes have become "ground zero" for the coronavirus disease 2019 (COVID-19) epidemic in North America, with homes experiencing widespread outbreaks, resulting in severe morbidity and mortality among their residents. This article describes a 371-bed acute-care hospital's emergency response to a 126-bed nursing ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16625

    authors: Stall NM,Farquharson C,Fan-Lun C,Wiesenfeld L,Loftus CA,Kain D,Johnstone J,McCreight L,Goldman RD,Mahtani R

    更新日期:2020-07-01 00:00:00

  • Establishment and impact of a dementia unit within the nursing home.

    abstract::Thirty-two demented, elderly residents of a nursing home were admitted to a specially designed dementia unit. Each patient was assessed three times: prior to admission, and at four and 12 months after admission to the unit. Patients were evaluated using a modified version of a previously published assessment scale as ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1987.tb04638.x

    authors: Benson DM,Cameron D,Humbach E,Servino L,Gambert SR

    更新日期:1987-04-01 00:00:00

  • Large-artery stiffness contributes to the greater prevalence of systolic hypertension in elderly women.

    abstract:OBJECTIVES:To determine whether sex differences in large-artery stiffness contribute to the greater prevalence of systolic hypertension in elderly women than in elderly men. DESIGN:During a single visit arterial stiffness was assessed in the unmedicated state using four parameters. PARTICIPANTS:Three hundred seventy-...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2004.52107.x

    authors: Berry KL,Cameron JD,Dart AM,Dewar EM,Gatzka CD,Jennings GL,Liang YL,Reid CM,Kingwell BA

    更新日期:2004-03-01 00:00:00

  • A multimodal aging and dying course for first-year medical students improves knowledge and attitudes.

    abstract::When medical schools change their curricula, this opens up opportunities for the development of new material and often eliminates previously designed courses. Emory University's School of Medicine revised its curriculum in 2007, combining clinical medicine and basic sciences in the first 18 months. As part of its firs...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02363.x

    authors: Eskildsen MA,Flacker J

    更新日期:2009-08-01 00:00:00

  • Association of dehydroepiandrosterone sulfate, body composition, and physical fitness in independent community-dwelling older men and women.

    abstract:OBJECTIVES:To determine the association of dehydroepiandrosterone sulfate (DHEAS), body composition, and physical fitness in independent community-dwelling men and women aged 60 to 80 years. DESIGN:Cross sectional analysis. PARTICIPANTS:Independent men and women, 60 years of age and older, living in urban and suburba...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1998.tb01036.x

    authors: Abbasi A,Duthie EH Jr,Sheldahl L,Wilson C,Sasse E,Rudman I,Mattson DE

    更新日期:1998-03-01 00:00:00

  • Racial and ethnic disparities in indicators of physical health status: do they still exist throughout late life?

    abstract::Physical health problems become more common as people age and are associated with a great deal of disability. Although racial and ethnic disparities have been reported in physical health, little is known about whether these disparities remain in the latest part of older adulthood. Accordingly, the current study sought...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.03033.x

    authors: August KJ,Sorkin DH

    更新日期:2010-10-01 00:00:00