Pre-operative evaluation in geriatric patients: Are we over-investigating?

B. Sharma, C. Sahai, J. Sood
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引用次数: 2

Abstract

The population of the United States, as well as developing countries like India, is rapidly ageing. Surgical operations are more common in the elderly than in younger age groups. A comprehensive pre-operative evaluation of these elderly patients is an important component of improving perioperative outcomes. It is very different from the pre-operative assessment in younger patients, which usually encompasses evaluating cardiac risk for non-cardiac surgery and single end-organ functional assessment. Functional and cognitive impairment are additional risk factors associated with poorer outcomes in older patients. Guidelines for pre-operative assessment of elderly surgical patients have been developed by the American College of Surgeons and the American Geriatrics Society.
老年患者术前评估:我们是否调查过度?
美国以及印度等发展中国家的人口正在迅速老龄化。外科手术在老年人中比在年轻人中更常见。对这些老年患者进行全面的术前评估是改善围手术期预后的重要组成部分。这与年轻患者的术前评估有很大不同,后者通常包括非心脏手术的心脏风险评估和单端器官功能评估。功能和认知障碍是老年患者预后较差的附加危险因素。美国外科医师学会和美国老年病学会制定了老年外科患者术前评估指南。
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