[ITACARE-P/SIGG/SIGOT/SICGE position paper: referral of elderly cardiac patient from geriatrics to cardiac rehabilitation.]

Q3 Medicine
Francesco Fattirolli, Angela Sciacqua, Alessandra Pratesi, Claudio de Lucia, Dario Leosco, Enrico Occhiuzzi, Angelo Scuteri, Andrea Ungar, Carlo Vigorito
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引用次数: 0

Abstract

Cardiac rehabilitation (CR) is Class IA indication in patients after an acute cardiovascular (CV) event, with efficacy confirmed even in elderly or frail CV patients CV and geriatric outcomes. However, rate of referral and admission to CR of elderly CV patients remains very low. CV patients admitted in geriatric wards are often complex, multimorbid and frail. Therefore, the present position paper addressees their possible referral to CR, since many have various forms of CV diseases amenable to improve with CR. The multidisciplinary and comprehensive model of CR is applicable to these patients where evaluation and interventions should be tailored to the patient functional and clinical status, aiming to appropriate targets. Cardiologist, Geriatrician and other professionals, should synergistically integrate their competences, thus outlining also the new paradigm of "Cardiogeriatric Rehabilitation and Prevention", possibly leading to an increased awareness of the beneficial effect of CR and to an increased referral to CR from Geriatric departments. Operative recommendations are given, based on appropriateness and priority of indications, clinical risk and frailty level, integrating different expertise to reach more effective programs of care.

[ITACARE-P/SIGG/SIGOT/SICGE立场文件:将老年心脏病患者从老年病科转入心脏康复科]
心脏康复(CR)是急性心血管(CV)事件后患者的一级适应症,即使对老年或体弱的 CV 患者也有疗效。然而,老年心血管病患者的转诊率和入院率仍然很低。老年病房收治的心血管病患者通常病情复杂、多病共存且体弱多病。因此,本立场文件探讨了将他们转诊到 CR 的可能性,因为许多人患有各种形式的心血管疾病,而 CR 可以改善这些疾病。CR 的多学科综合模式适用于这些患者,应根据患者的功能和临床状况进行评估和干预,以达到适当的目标。心脏病学家、老年病学家和其他专业人员应协同整合他们的能力,从而勾勒出 "老年心脏病康复和预防 "的新范式,这可能会提高人们对 CR 的有益效果的认识,并增加老年病学部门对 CR 的转诊。根据适应症的适当性和优先性、临床风险和虚弱程度,结合不同的专业知识,提出了手术建议,以实现更有效的治疗方案。
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来源期刊
Recenti progressi in medicina
Recenti progressi in medicina Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
143
期刊介绍: Giunta ormai al sessantesimo anno, Recenti Progressi in Medicina continua a costituire un sicuro punto di riferimento ed uno strumento di lavoro fondamentale per l"ampliamento dell"orizzonte culturale del medico italiano. Recenti Progressi in Medicina è una rivista di medicina interna. Ciò significa il recupero di un"ottica globale e integrata, idonea ad evitare sia i particolarismi della informazione specialistica sia la frammentazione di quella generalista.
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