Clin-STAR corner: Practice-changing advances at the interface of surgery and geriatrics.

Clin-STAR corner: Practice-changing advances at the interface of surgery and geriatrics.
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Clin-STAR 角:外科手术和老年病学交叉领域的实践变革进展。

DOI:
10.1111/jgs.18783
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发表时间:
2024
影响因子:
6.3
通讯作者:
Robinson,ThomasN
Robinson,ThomasN
中科院分区:
医学1区
文献类型:
--
作者:
Jones,TeresaS;Peters,Xane;Robinson,ThomasN

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接受大手术的老年人有很高的并发症、残疾和死亡风险。老年人特有的生理-社会妥协不会在围手术期环境中进行常规评估和管理。目前,在全国老年外科领域,最能改变实践的话题是实施全面的、多学科的老年护理路径,在老年人的整个围手术期为他们提供老年友好型护理。这篇综述介绍了最近发表的三篇文章,重点是确定与实施全面的老年外科手术计划相关的循证结果,该计划适用于接受重大住院手术的老年人。这些研究作为评价综合老年外科手术围手术期计划的有效性和有效性的初步证据。之所以选择每项研究,是因为它们对临床医生和寻求改善老年人手术护理的医疗保健系统具有重要影响的潜力很高。
Older adults who undergo major operations are at high risk for complications, disability, and death. The physio‐social compromises unique to older adults are not routinely assessed and managed in the perioperative setting. Currently, the most practice‐changing topic nationally in geriatric surgery is the implementation of comprehensive, multidisciplinary geriatric care pathways to provide age‐friendly care for older adults throughout their perioperative course. This review presents three recently published articles focused on defining evidence‐based outcomes associated with implementation of a comprehensive geriatric surgery program for older adults undergoing major inpatient operations. These studies serve as the initial evidence evaluating the efficacy and effectiveness of comprehensive perioperative geriatric surgery programs. Each study was chosen due to their high potential for meaningful impact for both clinicians and healthcare systems looking to improve their surgical care of older adults.
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作者:
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