Humbert M, Rubli E, Smith C, Nguyen S, Büla C
Rev Med Suisse. 2014 Nov 5;10(449):2101-6.
Age-related physiological changes and comorbidities affect older patients' tolerance to surgery. Pre-operative assessment in these patients requires, beside the usual physical evaluation, the systematic screening of common geriatric syndromes. Cognitive, gait and balance, nutritional, and functional impairments, all flag patients at higher risk for per- and postoperative complications. Preoperative assessment is an opportunity to detect these syndromes and propose preventative interventions (physical therapy, nutritional and cognitive support measures) likely to reduce the incidence of postoperative morbidity.
与年龄相关的生理变化和合并症会影响老年患者对手术的耐受性。对于这些患者，术前评估除了常规的体格检查外，还需要系统筛查常见的老年综合征。认知、步态和平衡、营养及功能障碍均提示患者围手术期和术后并发症风险较高。术前评估是发现这些综合征并提出可能降低术后发病率的预防性干预措施（物理治疗、营养和认知支持措施）的契机。
