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Interventional pulmonology techniques in elderly patients with comorbidities.
Michele Mondoni1, Dejan Radovanovic2, Giovanni Sotgiu3
1Respiratory Unit, ASST Santi Paolo e Carlo, San Paolo Hospital, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy.
European Journal of Internal Medicine
|October 4, 2018
Summary
Interventional pulmonology procedures are safe and effective for elderly patients with respiratory diseases and comorbidities. Advanced techniques offer diagnostic and therapeutic benefits, proving age is not a barrier to treatment.
Area of Science:
- Pulmonology
- Geriatrics
- Medical Procedures
Background:
- Respiratory diseases significantly impact elderly individuals, often alongside other health issues.
- Interventional pulmonology offers advanced diagnostic and therapeutic options for lung diseases.
- Limited data exists on the safety and efficacy of these procedures in the elderly, potentially causing clinician reluctance.
Purpose of the Study:
- To review the scientific literature on interventional pulmonology techniques in elderly patients with comorbidities.
- To summarize indications, performance, and safety of bronchoscopic techniques in older adults.
- To compare outcomes between elderly and younger patients and assess the influence of age and comorbidities.
Main Methods:
- A non-systematic review of scientific literature.
- Focus on interventional pulmonology techniques, including bronchoscopic and pleural procedures.
- Analysis of data concerning elderly patients with comorbidities.
Main Results:
- Older age is not a contraindication for interventional pulmonology.
- The review summarized indications, performance characteristics, and safety profiles of procedures in the elderly.
- Outcomes were compared between older and younger patients, considering anesthesia, sedation, and comorbidities.
Conclusions:
- Interventional pulmonology techniques are viable for elderly patients with comorbidities.
- Advanced diagnostic and therapeutic procedures in pulmonology can be safely implemented in older adults.
- Evidence supports the use of interventional pulmonology for both diagnostic and therapeutic goals in the geriatric population.
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