Preoperative Assessment of Geriatric Patients.
Preoperative Assessment of Geriatric Patients.
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DOI：
10.1016/j.anclin.2015.10.013
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发表时间：
2016-03-01
影响因子：
--
通讯作者：
Wildes, Troy S
中科院分区：
文献类型：
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作者：
Knittel, Justin G;Wildes, Troy S
老年患者在住院、手术和围手术期并发症中所占比例过高。由于合并症、功能障碍和其他缺陷的普遍存在，围手术期需要特别考虑这一患者群体。建议采用全面的术前评估策略来识别和解决这些问题。应该进行系统的、多领域的评估，并与降低风险的努力相结合。对患者功能和长期健康目标的共同理解对于为老年外科患者提供以患者为中心的护理也很重要。
Geriatric patients are over-represented in hospitalizations, surgeries, and perioperative complications. Special consideration is required for this patient group in the perioperative period because of the prevalence of comorbid diseases, functional impairments, and other deficits. A comprehensive preoperative evaluation strategy is recommended to identify and address these issues. Systematic, multidomain assessments should be performed and paired with risk reduction efforts. A shared understanding of patient function and long-term health goals is also important for providing patient-centered care of the geriatric surgical patient.