Perioperative medicine for older patients: how do we deliver quality care?
Perioperative medicine for older patients: how do we deliver quality care?
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DOI：
10.7861/futurehosp.3-1-33
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发表时间：
2016-02-01
期刊：
影响因子：
--
通讯作者：
Dhesi, Jugdeep K
中科院分区：
文献类型：
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作者：
Braude, Philip;Partridge, Judith Sl;Dhesi, Jugdeep K
由于患有多种疾病的老年人口不断增加，老年人对手术干预的需求正在增加。然而，老年人继续减少手术机会，并且比年轻人有更多的不良术后结果。目前的术前风险评估和优化模型不适合这种复杂的手术人群。此外，在国家麻醉和外科医院中，很少强调老年人的围手术期管理。老年人围手术期医疗护理和培训的新模式正在形成，国家报告呼吁老年病学家、普通内科医生、麻醉师和外科医生之间开展合作。这种合作对于影响临床服务发展、研究议程以及教育和培训是必要的。在这篇文章中，我们讨论了在建立高质量的老年人外科护理的挑战和潜在的解决方案。
The demand for surgical intervention in older people is rising due to the growing older population with multimorbidity. Yet older people continue to have reduced access to surgery and have more adverse postoperative outcomes than younger people. Current models of preoperative risk assessment and optimisation are poorly suited to this complex surgical population. Furthermore, there has been little emphasis on perioperative management of older people in national anaesthetic and surgical curriculums. New models of care and training in perioperative medicine for older people are evolving, with national reports calling for collaboration between geriatricians, general physicians, anaesthetists and surgeons. Such collaboration is necessary to impact clinical service development, research agendas and education and training. In this article, we discuss the challenges and potential solutions in the establishment of quality surgical care for older people.