Division of Thoracic Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Division of Aging, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Thorac Surg Clin. 2020 Aug;30(3):249-258. doi: 10.1016/j.thorsurg.2020.04.004. Epub 2020 May 22.
Outcomes after thoracic surgery are better predicted by preoperative evaluation of patients' physiologic reserve (also known as personal biologic age rather than chronologic age), using validated assessment tools in multidisciplinary collaboration with geriatricians. Targetable risk factors should be identified, and methods should be utilized to minimize these risks. Prehabilitation has been validated as a tool to increase functional and nutritional status of patients undergoing surgery in other specialties and improve outcomes. Although research is still limited in thoracic surgery, early results are promising.
胸外科手术后的结果可以通过多学科协作与老年病学家一起使用经过验证的评估工具来更好地预测患者的生理储备（也称为个人生物年龄而不是实际年龄）。应确定可靶向的风险因素，并应采用方法来最大程度地降低这些风险。在其他专科手术中，已经验证了预康复是一种增加患者功能和营养状况并改善结果的工具。尽管在胸外科手术方面的研究仍然有限，但早期结果令人鼓舞。
