The Effect on Patient Outcomes Usage of Comprehensive Geriatric Assessment Method in Elderly Before Surgery : Systematic Literature Review

Yıl 2021, Cilt: 4 Sayı: 1, 14 - 20, 29.01.2021

Ezgi Seyhan Ak , Ahmet Karaman , Nevin Kanan

Öz

Changes that occur with the aging process affect the functional, physiological and social well-being of individuals. Therefore, evaluation and care of elderly patients are very important. This systematic review was conducted to examine studies involving the use of the comprehensive geriatric assessment method which is used for the evaluation of elderly patients before surgery. The systematic review was based on“PRISMA-P” guideline. Med-Line, Science Direct, Scopus, Pubmed, Google Academic and National Thesis Center were used as research databases. In the review, screening was performed using the keywords "preoperative", "comprehensive geriatric assessment", "risk assessment", "elderly". The systematic review included studies published in 2000-2017, with a publication language in Turkish and English, with full-text access. A total of 21 articles were included in the study as a result of the literature review. In 19 of these studies, it was determined that comprehensive geriatric assessment before surgery played an important role in determining the postoperative complication risk. In other 2 studies, it was found that geriatric assessment did not decrease complication, re-hospitalization, re-operation and death rates. Studies show that the comprehensive evaluation of pre-operative elderly patients is effective in reducing and preventing adverse outcomes that may develop after surgery.

Anahtar Kelimeler

Comprehensive Geriatric Assessment, Elderly, Pre-Operative, Risk Assessment

Yaşlılarda Ameliyat Öncesi Kapsamlı Geriatrik Değerlendirme Yönteminin Kullanımı: Sistematik Literatür İncelemesi

Öz

Yaşlanma süreciyle birlikte meydana gelen değişiklikler bireylerin işlevsel, fizyolojik ve sosyal refahını etkilemektedir. Bu nedenle yaşlıhastaların değerlendirilmesi ve bakımı oldukça önemlidir. Bu sistematik derleme, yaşlı hastaların ameliyat öncesi değerlendirilmesindekullanılan kapsamlı geriatrik değerlendirme yönteminin kullanımını içeren çalışmaları incelemek amacıyla yapıldı. Sistematik derlemedePRİSMA-P rehberi esas alındı. Araştırma veri tabanları olarak Med-Line, Science Direct, Scopus, Pubmed, Google Akademik ve Ulusal TezMerkezi kullanıldı. Derlemede ameliyat öncesi “preoperative”, kapsamlı geriatrik değerlendirme “comprehensive geriatric assessment”,risk değerlendirmesi “risk assessment”, yaşlı “elderly” anahtar kelimeleri kullanılarak tarama yapıldı. Sistematik derlemeye 2000-2017 yıllarıarasında yayınlanan, yayın dili Türkçe ve İngilizce olan, tam metin erişimi bulunan araştırmalar dahil edildi. Literatür taraması sonucu 21 makaleçalışma kapsamına alındı. Çalışmaların 19’unda yaşlı hastalarda ameliyat öncesi yapılan kapsamlı geriatrik değerlendirmenin ameliyat sonrasıkomplikasyon riskini belirlemede önemli rol oynadığı belirlenirken, 2 çalışmada geriatrik değerlendirmenin komplikasyon görülme, tekrarhastaneye yatış, tekrar ameliyat olma ve ölüm oranlarını azaltmadığı saptanmıştır. Çalışmalar ameliyat öncesi yaşlı hastaların kapsamlı birşekilde değerlendirilmesinin ameliyat sonrası gelişebilecek olumsuz sonuçların azaltılması ve önlenmesinde etkili olduğunu göstermektedir.

Anahtar Kelimeler

Ameliyat Öncesi, Kapsamlı Geriatrik Değerlendirme, Risk Değerlendirmesi, Yaşlı

Kaynakça

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