摘要
老年衰弱患者进行手术时,出现术后不良并发症、住院时间延长、入住护理机构、失能等短期及长期不良事件风险增加。因此衰弱是老年手术患者术后不良结局的重要风险因素,需要跨学科团队协作,对老年手术患者进行充分术前衰弱评估,考量获益与风险,做好围手术期管理。目前国内将衰弱纳入老年手术患者术前评估的单位很少;术前衰弱评估也没有统一的量表。该文回顾了近年来对老年手术患者衰弱评估的相关进展,旨在提高相关科室的认识,开展术前衰弱的评估和围手术期管理,以改善老年手术患者预后。
Elderly frail patients undergoing surgery have high risk of postoperative complications,prolonged hospital stay,admission to facilities,disability and other short-term and long-term adverse events,which means debility is an important risk factor for adverse outcomes.Thus,it's necessary that multidisciplinary team conduct preoperative assessment ,take surgical benefit and risk into consideration and make a good perioperative management for elderly surgical patients.However,there're few units including frailty into preoperative assessment and no uniform scale to assess preoperative frailty.This paper review is to advances in the assessment of elderly frail surgical patients in order to raise awareness of relevant departments,develop preoperative frailty assessment and perioperative management to improve prognosis of elderly surgery patients.
作者
刘硕
王秋梅
刘晓红
Liu Shuo;Wang Qiumei;Liu Xiaohong(Department of Geriatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College ,Beijing100730,China)
出处
《中国临床保健杂志》
CAS
2018年第6期838-841,共4页
Chinese Journal of Clinical Healthcare
基金
北京市科委"首都特色"课题资助(Z151100004015123)
