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老年患者:衰弱、预康复和术后谵妄。

The Geriatric Patient: Frailty, Prehabilitation, and Postoperative Delirium.

机构信息

University of Miami Miller School of Medicine.

Division Neuroanesthesiology, Critical Care Medicine, Neurocritical Care and Geriatric Anesthesiology, University of Miami Miller School of Medicine.

出版信息

Med Clin North Am. 2024 Nov;108(6):1101-1117. doi: 10.1016/j.mcna.2024.06.001. Epub 2024 Aug 21.

Abstract

Historically and for ease of classification, the geriatric patient has received a chronologic definition of a person 65 years and older. Chronologic age remains an independent risk of postoperative complications and adverse surgical outcomes. Frailty is an expression of an individual's biological age and as such a more reliable determination of their vulnerabilities or resilience to stress. The concept of prehabilitation has shown promise as a proactive approach to optimize a patient's functional, cognitive, nutritional, and emotional in preparation for surgical interventions. Postoperative delirium is the most common neuropsychological complication after surgery.

摘要

从历史和分类的角度来看,老年患者的定义是指年龄在 65 岁及以上的人。年龄仍然是术后并发症和不良手术结果的独立风险因素。虚弱是个体生物年龄的表现,因此更能可靠地确定他们对压力的脆弱性或适应能力。预康复的概念已显示出作为一种积极主动的方法来优化患者的功能、认知、营养和情绪的潜力,为手术干预做准备。术后谵妄是手术后最常见的神经心理并发症。

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