Frailty assessment in vascular surgery and its utility in preoperative decision making
Frailty assessment in vascular surgery and its utility in preoperative decision making
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DOI：
10.1053/j.semvascsurg.2015.10.003
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发表时间：
2015-06-01
影响因子：
2.5
通讯作者：
Brooke, Benjamin S.
中科院分区：
文献类型：
--
作者：
Kraiss, Larry W.;Beckstrom, Julie L.;Brooke, Benjamin S.
随着美国人口预期寿命的增加，需要血管手术的平均患者年龄也在增加。许多老年患者有一定程度的虚弱，并且接近其生理储备的极限，对压力源（如手术）的反应能力有限。虚弱评估是术前决策过程的重要组成部分，以确定患者是否适合在血管外科手术中生存，并活得足够长以从干预中受益。在这篇综述中，我们将讨论虚弱评估的不同措施，以及血管外科医生如何使用这些措施来改善术前决策和患者护理质量。(C)2015 Elsevier Inc. All rights reserved.
The average patient requiring vascular surgery has become older, as life expectancy within the US population has increased. Many older patients have some degree of frailty and reside near the limit of their physiological reserve with restricted ability to respond to stressors such as surgery. Frailty assessment is an important part of the preoperative decision-making process, in order to determine whether patients are fit enough to survive the vascular surgery procedure and live long enough to benefit from the intervention. In this review, we will discuss different measures of frailty assessment and how they can be used by vascular surgery providers to improve preoperative decision making and the quality of patient care. (C) 2015 Elsevier Inc. All rights reserved.