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老年人术后的功能结局

Postoperative Functional Outcomes in Older Adults.

作者信息

Brinson Zabecca, Tang Victoria L, Finlayson Emily

机构信息

Department of Surgery (EF, ZB), Department of Medicine (EF, VT), Phillip R Lee Institute for Health Policy Studies (EF), 3333 California St, San Francisco, CA 94118; (415) 885-3606.

出版信息

Curr Surg Rep. 2016 Jun;4(6). doi: 10.1007/s40137-016-0140-7. Epub 2016 May 4.

Abstract

As the world's aging population grows, the surgical population is increasingly made up of older adults. Due to changes in physiologic function and increasing comorbidity burden, older adults are at increased risk of morbidity, mortality, and functional decline after surgery. In addition, decision to undergo surgery for the older adult may be based on the postoperative functional outcome rather than survival. Although few studies have evaluated an older adult's function as a postoperative outcome, surgeons are becoming increasingly aware of the importance of maintaining or regaining function in an older patient. Interventions to improve postoperative functional outcomes are being developed and show promising results. This review discusses existing literature on postoperative functional outcomes in older adults and recently developed interventions.

摘要

随着全球老龄化人口的增加,手术人群中老年人的比例越来越高。由于生理功能的变化和合并症负担的加重,老年人术后发生并发症、死亡和功能衰退的风险增加。此外,老年人是否接受手术的决定可能基于术后功能结果而非生存率。尽管很少有研究将老年人的功能作为术后结果进行评估,但外科医生越来越意识到维持或恢复老年患者功能的重要性。目前正在开发改善术后功能结果的干预措施,并显示出有希望的结果。本综述讨论了关于老年人术后功能结果的现有文献以及最近开发的干预措施。

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