Faculty of Medical and Human Sciences, University of Manchester, Manchester, UK.
Salford Royal NHS Foundation Trust, Salford, UK.
Aging Clin Exp Res. 2018 Mar;30(3):277-282. doi: 10.1007/s40520-017-0886-5. Epub 2018 Feb 6.
Increasing numbers of older patients require Emergency admission under General Surgery (EGS). This is a group of heterogeneous and often complex individuals with varying degrees of multimorbidity, polypharmacy, functional, mobility and cognitive impairment. Our article describes the benefits of comprehensive assessment coupled with patient-centred multiprofessional interventions and timely discharge planning. We discuss diverse service models and describe our experience in the planning, development and consolidation of a perioperative service for older EGS patients.
越来越多的老年患者需要在普通外科(EGS)接受紧急入院治疗。这是一组异质的,且通常较为复杂的个体,他们存在不同程度的多种合并症、多种药物治疗、功能、活动能力和认知障碍。我们的文章描述了综合评估以及以患者为中心的多专业干预和及时出院计划的好处。我们讨论了不同的服务模式,并描述了我们在规划、发展和巩固老年 EGS 患者围手术期服务方面的经验。