Cudennec Tristan, Goëau-Brissonnière Olivier, Coscas Raphaël, Capdevila Clément, Moulias Sophi, Coggia Marc, Teillet Laurent
Department of Geriatrics, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Department of Vascular Surgery, Ambroise Paré University Hospital, AP-HP, Boulogne-Billancourt (92), and Versailles Saint-Quentin en Yvelines University, Versailles, France.
Ann Vasc Surg. 2014 Apr;28(3):781-6. doi: 10.1016/j.avsg.2013.08.013. Epub 2013 Nov 8.
The elderly represent a large percentage of patients seen in departments of vascular surgery. Delirium is a frequent perioperative complication in this population and contributes to increased morbidity and mortality. Prevention of problems associated with mental confusion rests in identifying comorbidities, their severity, and the risk factors associated with delirium syndrome. The aging of our population implies management of increasing numbers of older patients who often have concomitant pathologies and, consequently, polypharmacy. Optimization of their management rests on collaboration between surgeons, anesthetists, and geriatrists.
老年人在血管外科就诊的患者中占很大比例。谵妄是这一人群常见的围手术期并发症，会导致发病率和死亡率增加。预防与精神错乱相关的问题在于识别合并症、其严重程度以及与谵妄综合征相关的危险因素。人口老龄化意味着要管理越来越多的老年患者，这些患者往往伴有多种疾病，因此存在多种药物治疗的情况。对他们进行优化管理依赖于外科医生、麻醉师和老年病医生之间的合作。
