虚弱血管手术患者的决策制定：范围综述。
Decision making in the frail vascular surgery patient: A scoping review.
机构信息
Division of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, 780 Welch Road, Cj350i, MC 5639, Palo Alto, CA, 94304.
Division of Vascular Surgery, Department of Surgery, University of Utah Health, Salt Lake City, UT.
出版信息
Semin Vasc Surg. 2024 Jun;37(2):224-239. doi: 10.1053/j.semvascsurg.2024.04.003. Epub 2024 Apr 21.
Abstract
Increasing evidence highlights the adverse impact of frailty and reduced physiologic reserve on surgical outcomes. Therefore, identification of frailty is essential for older adults being evaluated for vascular surgery procedures. Numerous frailty assessment tools are available to quantify the level of frailty and assist in preoperative decision making for these older patients. This review evaluates traditional and novel frailty metrics for their scientific validation, limitations, and clinical utility in vascular surgery decision-making.
摘要
越来越多的证据强调了虚弱和生理储备减少对手术结果的不利影响。因此，对于接受血管外科手术评估的老年人来说，识别虚弱状态至关重要。有许多虚弱评估工具可用于量化虚弱程度，并协助这些老年患者的术前决策。本综述评估了传统和新型虚弱指标在血管外科决策中的科学验证、局限性和临床实用性。
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Geriatr Nurs. 2024 Mar-Apr;56:25-31. doi: 10.1016/j.gerinurse.2023.12.005. Epub 2024 Jan 9.
2
Preoperative Rehabilitation Is Feasible in the Weeks Prior to Surgery and Significantly Improves Functional Performance.术前康复在手术前几周是可行的，并且显著改善了功能表现。
J Frailty Aging. 2023;12(4):267-276. doi: 10.14283/jfa.2022.42.
3
Prognostic Value of Hospital Frailty Risk Score and Clinical Outcomes in Patients Undergoing Revascularization for Critical Limb-Threatening Ischemia.医院衰弱风险评分对接受血运重建治疗严重肢体缺血患者的预后价值。
J Am Heart Assoc. 2023 Sep 5;12(17):e030294. doi: 10.1161/JAHA.123.030294. Epub 2023 Aug 29.
4
Association of Routine Preoperative Frailty Assessment With 1-Year Postoperative Mortality.常规术前虚弱评估与术后 1 年死亡率的关联。
JAMA Surg. 2023 May 1;158(5):475-483. doi: 10.1001/jamasurg.2022.8341.
5
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6
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