老年血管介入患者围手术期评价及风险分层

IF 2.4 3区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Christina L. Cui , Arash Fereydooni , Shipra Arya , Laura M Drudi
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引用次数: 0

摘要

随着美国和全球人口的老龄化,老年患者的外科治疗变得越来越重要,心血管危险因素的发生率也在不断上升。由于年龄相关的生理变化,老年外科患者面临更高的手术风险,这些生理变化可能超出合并症,最好的描述是老年综合征。全面的老年评估包括检查这些综合征的风险因素,其中包括对患者病史的广泛审查、虚弱评估、营养评估、药物审查和社会支持评估。这种评估的目的不是判定患者手术“安全”或“不安全”,而是评估他们的风险水平,并在手术前确定康复的机会。这种方法需要外科团队和包括老年病医生在内的综合围手术期团队之间的合作。这篇叙述性综述旨在分析老年评估的组成部分,确定术后并发症风险增加的患者的后续行动,并确定与老年人群血管护理相关的创新领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative Evaluation and Risk Stratification of the Elderly Patient Undergoing Vascular Intervention
The surgical management of elderly patients has become increasingly important as the population ages in the U.S. and globally, and the incidence of cardiovascular risk factors continues to rise. Geriatric surgical patients face heightened surgical risks due to age-related physiological changes, which may extend beyond comorbidities, best described as geriatric syndromes. A thorough geriatric evaluation involves examining risk factors for these syndromes, which includes an extensive review of the patient’s medical history, frailty assessment, nutritional evaluation, medication review, and evaluation of social support. The goal of this assessment is not to deem patients “safe” or “unsafe” for surgery, but to evaluate their risk levels and identify opportunities for prehabilitation prior to surgery. This approach necessitates collaboration between surgical teams and a comprehensive perioperative team that includes geriatricians. This narrative review aims to analyze the components of a geriatric evaluation and identify subsequent actions for patients at increased risk of postoperative complications and identify areas for innovation as it relates to vascular care in aging populations.
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来源期刊
CiteScore
3.50
自引率
4.00%
发文量
54
审稿时长
50 days
期刊介绍: Each issue of Seminars in Vascular Surgery examines the latest thinking on a particular clinical problem and features new diagnostic and operative techniques. The journal allows practitioners to expand their capabilities and to keep pace with the most rapidly evolving areas of surgery.
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