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献给时代之作:优化重症监护病房的老年护理

One for the ages: optimizing geriatric care in the intensive care unit.

作者信息

Egodage Tanya, Patel Purvi Pravinchandra

机构信息

Surgery, Cooper University Health Care, Camden, New Jersey, USA.

Department of Surgery, Loyola University Chicago, Maywood, Illinois, USA.

出版信息

Trauma Surg Acute Care Open. 2025 Apr 14;10(Suppl 1):e001785. doi: 10.1136/tsaco-2025-001785. eCollection 2025.

Abstract

Increasing proportions of patients admitted to intensive care units (ICUs) are >65 years of age. Geriatric critical care requires a nuanced approach that optimizes outcomes and is mindful of patient desires. This occurs by identifying at-risk patients and implementing protocols and multidisciplinary care which targets patients' clinical status, prevents neurologic and physical deterioration, and addresses comorbidities in the setting of altered physiology. In this article, we will review evidence-based practices to enhance the care of older adult patients in the ICU.

摘要

入住重症监护病房(ICU)的患者中,65岁以上的比例越来越高。老年重症监护需要一种细致入微的方法,以优化治疗效果并关注患者的意愿。这通过识别高危患者并实施针对患者临床状况、预防神经和身体功能恶化以及在生理状态改变的情况下处理合并症的方案和多学科护理来实现。在本文中,我们将回顾基于证据的实践方法,以加强对ICU中老年患者的护理。

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