Mézière Anthony, Paillaud Elena, Plaud Benoît
Assistance publique-Hôpitaux de Paris, groupe hospitalier et universitaire Albert-Chenevier-Henri-Mondor, université Paris-Est Créteil, département de gériatrie, 94010 Créteil, France.
Presse Med. 2013 Feb;42(2):197-201. doi: 10.1016/j.lpm.2012.07.040. Epub 2012 Dec 27.
A growing number of old or very old patients benefits from a surgical procedure. Age is an independent risk factor of postoperative mortality and postoperative complications including cognitive dysfunction. The choice of anesthetic technique does not significantly modify this risk. Preventive strategies and preoperative procedures can be implemented. A multidisciplinary management involving all care providers around the patient is essential to reduce the risk of dependence after surgery which is higher in this population. Early postoperative rehabilitation is recommended in the elderly to improve the prognosis.
越来越多的老年或高龄患者从外科手术中获益。年龄是术后死亡率及包括认知功能障碍在内的术后并发症的独立危险因素。麻醉技术的选择并不能显著改变这一风险。可以实施预防策略和术前程序。多学科管理,让围绕患者的所有医护人员参与其中,对于降低该人群术后更高的依赖风险至关重要。建议对老年人进行早期术后康复以改善预后。