Borrell-Vega Jaume, Esparza Gutierrez Alan G, Humeidan Michelle L
Department of Anesthesiology - Clinical Research, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, N-411 Doan Hall, Columbus, OH 43210, USA.
Department of Anesthesiology - Clinical Research, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, N-411 Doan Hall, Columbus, OH 43210, USA.
Anesthesiol Clin. 2019 Sep;37(3):437-452. doi: 10.1016/j.anclin.2019.04.004. Epub 2019 Jun 26.
Despite advances in perioperative care, short-term and long-term postoperative complications are still experienced by many patients, which is of special relevance to the older adult population, considered to be high-risk surgical candidates because of less functional reserve and comorbidity burden. Through the implementation of prehabilitation programs, patients can be optimized to handle the physical and mental stress of surgery. Benefits have been described in a variety of surgical populations, but more studies targeting older surgical patients are needed. These studies should include standardized prehabilitation protocols and large sample sizes to avoid the limitations of the existing prehabilitation literature.
尽管围手术期护理取得了进展，但许多患者仍会经历短期和长期术后并发症，这对于老年人群体尤为重要，由于功能储备较少和合并症负担，他们被认为是高风险手术候选人。通过实施术前康复计划，可以使患者更好地应对手术的身心压力。在各种手术人群中都已描述了其益处，但还需要更多针对老年手术患者的研究。这些研究应包括标准化的术前康复方案和大样本量，以避免现有术前康复文献的局限性。
