Nohra Eden, Bochicchio Grant V
Washington University in St. Louis School of Medicine, St Louis, MO, USA.
Washington University in St. Louis School of Medicine, St Louis, MO, USA.
Surg Clin North Am. 2015 Feb;95(1):85-101. doi: 10.1016/j.suc.2014.09.005. Epub 2014 Nov 20.
Aging is associated with physiological changes in the gut and with physical and psychosocial risk factors that predispose to malnutrition, particularly in the presence of disease states. The geriatric faction of the surgical population is increasing, and malnourished, critically ill geriatric surgical patients have worse outcomes. The authors discuss the assessment of nutritional risk, recognition of risk factors, statement of dietary goals, and appropriate nutritional interventions in critically ill geriatric surgical patients.
衰老与肠道的生理变化以及易导致营养不良的身体和心理社会风险因素相关，尤其是在存在疾病状态时。外科手术人群中的老年患者比例正在增加，而营养不良、危重症老年外科患者的预后更差。作者讨论了危重症老年外科患者的营养风险评估、风险因素识别、饮食目标设定以及适当的营养干预措施。
