University of Miami Miller School of Medicine.
Division Neuroanesthesiology, Critical Care Medicine, Neurocritical Care and Geriatric Anesthesiology, University of Miami Miller School of Medicine.
Med Clin North Am. 2024 Nov;108(6):1101-1117. doi: 10.1016/j.mcna.2024.06.001. Epub 2024 Aug 21.
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.
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。
