Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus.
Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus.
复制标题
DOI：
10.1007/s40520-020-01624-x
复制
发表时间：
2020-09
影响因子：
4
通讯作者：
Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Gerontologia e Geriatria (SIGG), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia Geriatrica (SICG) and Associazione Italiana di Psicogeriatria (AIP)
中科院分区：
文献类型：
--
作者：
Aceto P;Antonelli Incalzi R;Bettelli G;Carron M;Chiumiento F;Corcione A;Crucitti A;Maggi S;Montorsi M;Pace MC;Petrini F;Tommasino C;Trabucchi M;Volpato S;Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Gerontologia e Geriatria (SIGG), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia Geriatrica (SICG) and Associazione Italiana di Psicogeriatria (AIP)
老年患者的手术结局可能因多种合并症、功能表现低下、虚弱、稳态能力降低和认知功能障碍等因素而复杂化。因此，在这一人群中，采用综合性多学科方法进行管理是必不可少的，但目前，这种方法的使用并不常见。老年患者围手术期管理（PriME）项目已经建立，以解决这个问题。为老年外科患者的综合护理提供循证建议。成立了一个由外科医生、麻醉师和老年病学家组成的14人专家工作组，为接受择期手术的住院老年患者（≥ 65岁）的术前、术中和术后护理制定循证建议。采用改良的德尔菲法达成共识，并采用美国咨询服务工作组标准对建议的强度和证据质量进行评级。共提出81项建议，包括术前评估和护理（30项）、术中管理（19项）和术后护理和出院（32项）。这些建议应促进老年手术患者的多学科管理，根据需要整合外科医生、麻醉师、老年病学家和其他专家和医疗保健专业人员（如有）的专业知识。这些角色可能因护理阶段和环境以及患者状况而异。
Surgical outcomes in geriatric patients may be complicated by factors such as multiple comorbidities, low functional performance, frailty, reduced homeostatic capacity, and cognitive impairment. An integrated multidisciplinary approach to management is, therefore, essential in this population, but at present, the use of such an approach is uncommon. The Perioperative Management of Elderly patients (PriME) project has been established to address this issue. To develop evidence-based recommendations for the integrated care of geriatric surgical patients. A 14-member Expert Task Force of surgeons, anesthetists, and geriatricians was established to develop evidence-based recommendations for the pre-, intra-, and postoperative care of hospitalized older patients (≥ 65 years) undergoing elective surgery. A modified Delphi approach was used to achieve consensus, and the strength of recommendations and quality of evidence was rated using the U.S. Preventative Services Task Force criteria. A total of 81 recommendations were proposed, covering preoperative evaluation and care (30 items), intraoperative management (19 items), and postoperative care and discharge (32 items). These recommendations should facilitate the multidisciplinary management of older surgical patients, integrating the expertise of the surgeon, the anesthetist, the geriatrician, and other specialists and health care professionals (where available) as needed. These roles may vary according to the phase and setting of care and the patient’s conditions.
登录
查看更多内容
DOI：
10.3233/jad-180416
发表时间：
2018
期刊：
Journal of Alzheimer's disease : JAD
影响因子：
--
作者：
Bacigalupo I;Mayer F;Lacorte E;Di Pucchio A;Marzolini F;Canevelli M;Di Fiandra T;Vanacore N
通讯作者：
Vanacore N
影响因子：
2.8
作者：
Cataldo, Maria Adriana;Granata, Guido;Petrosillo, Nicola
通讯作者：
Petrosillo, Nicola
影响因子：
8.8
作者：
Canet, Jaume;Gallart, Lluis;Sanchis, Joaquin
通讯作者：
Sanchis, Joaquin
影响因子：
2.8
作者：
Brioni JD;Varughese S;Ahmed R;Bein B
通讯作者：
Bein B
影响因子：
3.6
作者：
Aldecoa, Cesar;Bettelli, Gabriella;Spies, Claudia D.
通讯作者：
Spies, Claudia D.