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

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.