虚弱和围手术期结果：SNAP-3作为行动的号召。

IF 9.1 1区医学 Q1 ANESTHESIOLOGY

British journal of anaesthesia Pub Date : 2025-06-25 DOI:10.1016/j.bja.2025.05.027

Daniel I McIsaac, Leandra Amado

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引用次数: 0

摘要

在第三个Sprint国家麻醉项目（SNAP-3）中，从7800名英国老年外科患者中收集的可推广的前瞻性数据证实，虚弱的存在是老年外科患者不良结果的关键危险因素。接下来会发生什么？麻醉师应努力识别所有临床虚弱量表评分≥4分的高危患者。研究人员应与患者、临床医生和卫生系统领导人合作，将科学重点从虚弱作为一种风险因素转向制定和评估干预措施，以改善日益增多的虚弱手术患者的预后。

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Frailty and perioperative outcomes: SNAP-3 as a call to action.

Generalisable, prospectively collected data from 7800 older UK surgical patients in the 3^rd Sprint National Anesthesia Project (SNAP-3) confirm that the presence of frailty is a key risk factor for adverse outcomes among older surgical patients. What comes next? Anaesthetists should strive to identify all patients with a Clinical Frailty Scale score ≥4 as being at elevated risk. Researchers, in collaboration with patients, clinicians and health system leaders, should move from a scientific focus on frailty as a risk factor to developing and evaluating interventions to improve outcomes for the growing population of surgical patients with frailty.

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来源期刊

British journal of anaesthesia 医学-麻醉学

CiteScore

13.50

自引率

7.10%

发文量

488

审稿时长

27 days

期刊介绍： The British Journal of Anaesthesia (BJA) is a prestigious publication that covers a wide range of topics in anaesthesia, critical care medicine, pain medicine, and perioperative medicine. It aims to disseminate high-impact original research, spanning fundamental, translational, and clinical sciences, as well as clinical practice, technology, education, and training. Additionally, the journal features review articles, notable case reports, correspondence, and special articles that appeal to a broader audience. The BJA is proudly associated with The Royal College of Anaesthetists, The College of Anaesthesiologists of Ireland, and The Hong Kong College of Anaesthesiologists. This partnership provides members of these esteemed institutions with access to not only the BJA but also its sister publication, BJA Education. It is essential to note that both journals maintain their editorial independence. Overall, the BJA offers a diverse and comprehensive platform for anaesthetists, critical care physicians, pain specialists, and perioperative medicine practitioners to contribute and stay updated with the latest advancements in their respective fields.