Preoperative Management of the Geriatric Patient: Frailty and Cognitive Impairment Assessment

Anesthesiol Clin. 2018 Dec;36(4):599-614. doi: 10.1016/j.anclin.2018.07.008. Epub 2018 Oct 12.


As the population ages, more geriatric patients will be presenting for surgical procedures. Preoperative evaluation seeks to assess patients for geriatric syndromes: frailty, sarcopenia, functional dependence, and malnutrition. Age-related changes in physiology increase risk for central nervous system, cardiovascular, pulmonary, renal, hepatic, and endocrine morbidity and mortality. Identification of various comorbidities allows for preoperative optimization and for opportunities for intervention including nutritional supplementation and prehabilitation, which may improve postoperative outcomes.

Keywords: Frailty; Geriatric; Preoperative evaluation; Sarcopenia; Surgery.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / diagnosis*
  • Frailty / diagnosis*
  • Geriatric Assessment / methods*
  • Humans
  • Preoperative Care / methods*
  • Risk Assessment / methods