衰弱，迎接挑战，超越老年外科-新加坡第一个老年外科服务的10年经验

IF 0.5 4区医学 Q4 GERONTOLOGY

Topics in Geriatric Rehabilitation Pub Date : 2023-04-01 DOI:10.1097/TGR.0000000000000394

C. Chia, Nicole Therese Wen Min Yong, Marc Weijie Ong, Xin Yi Lam, Bernice Lip Lin Soon, Kok Yang Tan

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引用次数: 0

摘要

本文概述了新加坡Khoo Teck Puat医院第一家专门的老年外科服务机构10年的经验。阐述了虚弱及其对急诊和选择性手术的不利影响，并解释了优化结果的策略。通过跨学科的跨机构合作，老年外科服务为体弱患者提供了康复、营养和心理支持的三模式干预，实现了一致的围手术期结果，缩短了住院时间，并恢复了接受重大选择性肿瘤手术患者的基线功能。正在努力向下一代医生教授跨学科合作，以应对老年外科时代的挑战。

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Frailty, Meeting Challenges, and Beyond in Geriatric Surgery—10 Years' Experience From Singapore's First Geriatric Surgical Service

This article gives an overview of the 10 years' experience of the first dedicated geriatric surgery service in Khoo Teck Puat Hospital, Singapore. Frailty and its adverse impact on emergency and elective surgical procedures are elaborated and strategies to optimize outcomes explained. Via transdisciplinary transinstitutional collaboration, geriatric surgery service instituted trimodal intervention of prehabilitation, nutrition, and psychological support for frail patients, achieved consistent perioperative results, shortened length of hospital stay, and restored baseline function for patients undergoing major elective oncological surgery. Efforts are made to teach transdisciplinary collaboration to the next generation of doctors to meet the challenges of the Era of Geriatric Surgery.

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来源期刊

Topics in Geriatric Rehabilitation Multiple-

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Topics in Geriatric Rehabilitation, (TGR) is a peer-reviewed journal that presents clinical, basic, and applied research, as well as theoretic information, consolidated into a clinically relevant format and provides a resource for the healthcare professional practicing in the area of geriatric rehabilitation. TGR provides useful, treatment-related information written by and for specialists in all aspects of geriatric care. Each issue focuses on a specific topic, providing dependable hands-on tips and techniques.