American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults.

American Geriatrics Society abstracted clinical practice guideline for postoperative delirium in older adults.
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DOI:
10.1111/jgs.13281
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发表时间:
2015-01
影响因子:
6.3
通讯作者:
American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults
中科院分区:
医学1区
文献类型:
--
作者:
American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults

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本文提出的一组摘要建议为预防有谵妄风险的老年患者术后谵妄和治疗伴有谵妄的老年手术患者提供了必要的指导,并基于2014年美国老年医学会(AGS)指南。该指南的完整版本,美国老年医学会老年人术后谵妄临床实践指南可在AGS网站上获得。本研究的总体目的有两个:第一,介绍围手术期应实施的预防老年人术后谵妄的非药物和药物干预措施;第二,介绍围手术期应实施的治疗老年人术后谵妄的非药物和药物干预措施。预防建议侧重于初级预防(即,在谵妄发生之前预防谵妄)在有术后谵妄风险的患者中(例如,根据先前的风险分层模型,如国家健康与护理卓越研究所(NICE)指南,谵妄:诊断,预防和管理,确定为中度至高度风险的患者。临床指南103;伦敦(英国):2010年7月29日)。对于谵妄的管理,本指南的目标是降低谵妄的严重程度和持续时间,确保患者安全并改善结局。
The abstracted set of recommendations presented here provides essential guidance both on the prevention of postoperative delirium in older patients at risk of delirium and on the treatment of older surgical patients with delirium, and is based on the 2014 American Geriatrics Society (AGS) Guideline. The full version of the guideline, American Geriatrics Society Clinical Practice Guideline for Postoperative Delirium in Older Adults is available at the website of the AGS. The overall aims of the study were twofold: first, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the prevention of postoperative delirium in older adults; and second, to present nonpharmacologic and pharmacologic interventions that should be implemented perioperatively for the treatment of postoperative delirium in older adults. Prevention recommendations focused on primary prevention (i.e., preventing delirium before it occurs) in patients who are at risk for postoperative delirium (e.g., those identified as moderate-to-high risk based on previous risk stratification models such as the National Institute for Health and Care Excellence (NICE) guidelines, Delirium: Diagnosis, Prevention and Management. Clinical Guideline 103; London (UK): 2010 July 29). For management of delirium, the goals of this guideline are to decrease delirium severity and duration, ensure patient safety and improve outcomes.
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