Sieber Frederick E, Barnett Sheila Ryan
Department of Anesthesiology, Johns Hopkins Bayview Medical Center, Johns Hopkins Medical Institutions, 4940 Eastern Avenue, A588, Baltimore, MD 21224, USA.
Anesthesiol Clin. 2011 Mar;29(1):83-97. doi: 10.1016/j.anclin.2010.11.011. Epub 2011 Jan 5.
Postoperative complications are directly related to poor surgical outcomes in the elderly. This review outlines evidence based quality initiatives focused on decreasing neurologic, cardiac, and pulmonary complications in the elderly surgical patient. Important anesthesia quality initiatives for prevention of delirium, the most common neurologic complication in elderly surgical patients, are outlined. There are few age-specific quality measures aimed at prevention of cardiac and pulmonary complications. However, some recommendations for adults can be applied to the geriatric surgical population. In the future, process measures may provide a more global assessment of quality in the elderly surgical population.
术后并发症与老年患者手术效果不佳直接相关。本综述概述了基于证据的质量改进措施，这些措施旨在减少老年手术患者的神经、心脏和肺部并发症。文中概述了预防谵妄（老年手术患者中最常见的神经并发症）的重要麻醉质量改进措施。针对预防心脏和肺部并发症的特定年龄质量指标很少。然而，一些针对成年人的建议可应用于老年手术人群。未来，过程指标可能会对老年手术人群的质量提供更全面的评估。
