Röhrig Gabriele, Gurlit Simone, Hoffmann Arne, Jabs Hans Ulrich, Kolb Gerald
Zentrum für spezialisierte geriatrische Diagnostik, MVZ Medicum Köln Ost, Johann Classen Straße 68, 51103, Köln, Deutschland.
Abteilung Perioperative Altersmedizin, St Franziskus Hospital, Münster, Deutschland.
Z Gerontol Geriatr. 2020 May;53(3):233-238. doi: 10.1007/s00391-020-01708-3. Epub 2020 Feb 17.
Anemia is frequent in older people with one in two geriatric inpatients being affected. Therefore, in elective surgery, such as endoprosthetic treatment it is very likely that anemia is already present in a preoperative setting. So far there are no particular guidelines about perioperative management of anemia in geriatric patients. The existing recommendations of the Patient Blood Management (PBM) network cooperation and the current Association of the Scientific Medical Societies in Germany (AWMF) S3 guidelines on preoperative anemia refer to all patients aged >18 years but without particular consideration of the growing number of oldest old orthogeriatric patients. This is more problematic as anemia in the aged has been shown to be different from anemia in younger patients in terms of diagnostics and treatment. Based on several interdisciplinary lectures, this year the symposium of the working group on anemia of the German Geriatric Society (DGG) focused on the problems of perioperative PBM in orthogeriatric patients and encouraged the discussion about developing PBM treatment recommendations for this patient group.
贫血在老年人中很常见，每两名老年住院患者中就有一人受其影响。因此，在诸如假体治疗等择期手术中，术前很可能就已存在贫血情况。到目前为止，尚无关于老年患者围手术期贫血管理的具体指南。患者血液管理（PBM）网络合作的现有建议以及德国科学医学协会（AWMF）目前关于术前贫血的S3指南适用于所有年龄大于18岁的患者，但并未特别考虑日益增多的高龄老年骨科患者。由于老年人的贫血在诊断和治疗方面已被证明与年轻患者不同，这一问题更为突出。基于几场跨学科讲座，今年德国老年医学协会（DGG）贫血工作组研讨会聚焦于老年骨科患者围手术期PBM的问题，并鼓励针对该患者群体制定PBM治疗建议展开讨论。
