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Aging is associated with increased comorbidity, and many conditions require surgical assessment and intervention. Surgical teams are frequently faced with the dilemma of whether to perform a surgical intervention in high-risk older patients. This risk/benefit decision-making process is clearly supported by performing a structured physical, functional, nutritional, cognitive, and social evaluation, which constitutes the Comprehensive Geriatric Assessment (CGA). The determination of physical and functional reserve, and the classification of patients as robust or frail, provide the surgeon with clearer guidelines in deciding on the level of intervention and the probability of better recovery and post-operative rehabilitation. This is true not only in the elective surgery setting but also for emergency surgical intervention.

In this Research Topic, we offer researchers the opportunity to share new ideas and advances relating to all aspects of Perioperative Care in Older Adults. We encourage the submission of manuscripts such as original research articles, reviews, mini-reviews, systematic reviews, clinical trials, case reports, perspectives, opinions, and study protocols relevant to this article collection that will cover topics such as (but not limited to):

· Elective surgery in older patients.

· Decision-making and risk assessment of the older patient in the acute surgical setting

· Comprehensive Geriatric Assessment for risk assessment in surgical and orthopedic services

· Prevention of perioperative complications, such as delirium, functional decline, infection, and more

· Personalized surgical care for the older patient

· Risk stratification of the older surgical patient

· Perioperative rehabilitation for improving outcomes in the older surgical patients

Keywords: older people, perioperative care, Comprehensive Geriatric Assessment, elective surgery, emergency surgery


Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

Aging is associated with increased comorbidity, and many conditions require surgical assessment and intervention. Surgical teams are frequently faced with the dilemma of whether to perform a surgical intervention in high-risk older patients. This risk/benefit decision-making process is clearly supported by performing a structured physical, functional, nutritional, cognitive, and social evaluation, which constitutes the Comprehensive Geriatric Assessment (CGA). The determination of physical and functional reserve, and the classification of patients as robust or frail, provide the surgeon with clearer guidelines in deciding on the level of intervention and the probability of better recovery and post-operative rehabilitation. This is true not only in the elective surgery setting but also for emergency surgical intervention.

In this Research Topic, we offer researchers the opportunity to share new ideas and advances relating to all aspects of Perioperative Care in Older Adults. We encourage the submission of manuscripts such as original research articles, reviews, mini-reviews, systematic reviews, clinical trials, case reports, perspectives, opinions, and study protocols relevant to this article collection that will cover topics such as (but not limited to):

· Elective surgery in older patients.

· Decision-making and risk assessment of the older patient in the acute surgical setting

· Comprehensive Geriatric Assessment for risk assessment in surgical and orthopedic services

· Prevention of perioperative complications, such as delirium, functional decline, infection, and more

· Personalized surgical care for the older patient

· Risk stratification of the older surgical patient

· Perioperative rehabilitation for improving outcomes in the older surgical patients

Keywords: older people, perioperative care, Comprehensive Geriatric Assessment, elective surgery, emergency surgery


Important Note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

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