When and how to adapt care in frail older adults

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI:10.1016/j.scrs.2024.101063

Erin Isenberg MD , Maedeh Marzoughi BS , Pasithorn A. Suwanabol MD, MS

引用次数: 0

Abstract

Adults ≥65 years of age comprise nearly 20 % of the U.S. population and over half of surgical patients. Older adults, particularly when frail, are at increased risk of adverse physical, cognitive, and functional changes after undergoing surgery. This manuscript highlights the importance of tailored care for frail older adults considering or undergoing colorectal surgery to optimize perioperative outcomes and recovery and better inform decision-making and promote goal-concordant care. We examine the challenges these patients face and outline evidence-based strategies for comprehensive preoperative assessment, perioperative management, and postoperative care to mitigate the risks associated with surgery and improve patient outcomes.

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何时以及如何调整对体弱老年人的护理

年龄≥65 岁的成年人占美国人口的近 20%，占外科手术患者的一半以上。老年人，尤其是体弱的老年人，在接受手术后身体、认知和功能发生不良变化的风险会增加。本手稿强调了为考虑或正在接受结直肠手术的体弱老年人提供量身定制的护理的重要性，以优化围手术期的效果和恢复，更好地为决策提供信息并促进目标一致的护理。我们研究了这些患者面临的挑战，并概述了以证据为基础的综合术前评估、围手术期管理和术后护理策略，以降低手术相关风险并改善患者预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Colon and Rectal Surgery SURGERY-

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Seminars in Colon and Rectal Surgery offers a comprehensive and coordinated review of a single, timely topic related to the diagnosis and treatment of proctologic diseases. Each issue is an organized compendium of practical information that serves as a lasting reference for colorectal surgeons, general surgeons, surgeons in training and their colleagues in medicine with an interest in colorectal disorders.