Wozniak Susan E, Coleman JoAnn, Katlic Mark R
Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
Department of Surgery, Sinai Center for Geriatric Surgery, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
Anesthesiol Clin. 2015 Sep;33(3):481-9. doi: 10.1016/j.anclin.2015.05.012. Epub 2015 Jul 3.
The elderly preoperative patient benefits from an assessment that includes more than a routine physical examination and electrocardiogram. Such an assessment includes domains likely to affect the elderly: cognition, functionality, frailty, polypharmacy, nutrition, and social support. This fosters decisions based on functional age rather than chronologic age and on each patient as an individual. One such assessment is that promulgated by the American College of Surgeons National Surgery Quality Improvement Program/American Geriatrics Society Best Practice Guidelines. We should not miss any opportunity to improve results in this growing population of surgical patients.
老年术前患者受益于一项评估，该评估不仅仅包括常规体格检查和心电图检查。这样的评估涵盖了可能影响老年人的多个方面：认知、功能、虚弱、多种药物联用、营养和社会支持。这有助于基于功能年龄而非实际年龄，并根据每个患者的个体情况做出决策。美国外科医师学会国家外科质量改进计划/美国老年医学会最佳实践指南所倡导的评估就是其中之一。在这一不断增加的外科患者群体中，我们不应错过任何改善治疗效果的机会。
