New National Perioperative Guideline for Geriatric Surgical Quality Care is Released
Summary:** The American College of Surgeons and AGS have released a new perioperative guideline for geriatric patients, covering 9 domains including nutrition, UTI prevention, functional decline, and pressure ulcer care. It recommends preoperative assessments, frailty screening, and post-op mobilization to minimize complications like wounds from immobility. For pressure ulcers, it advocates risk screening, repositioning, and specialized surfaces, integrating with infection control for better recovery in surgical elderly.
Key Highlights:
- Domains: 9 areas from pre-op to discharge; pressure ulcers addressed via Braden screening and preventive protocols.
- Recommendations: Multidisciplinary teams; nutrition for healing; early mobilization to prevent decubitus.
- Evidence: Based on 50+ studies; reduces readmissions by 20% with adherence.
- Implementation: Tools for shared decision-making; focus on post-op wound monitoring.
- Impact: Improves outcomes for 50%+ of surgical patients over 65.
Keywords: geriatric surgery, pressure ulcer guideline, perioperative care, frailty screening, elderly wound management