结直肠外科手术患者的功能结果和脆弱性
Elhassan Elabbas1, Anita Sharma1,2, Khin Thu1
1Geriatric Medicine Department, Nepean Hospital, Kingswood, New South Wales, Australia.
ANZ journal of surgery
|July 24, 2023
概括
使用临床脆弱度量 (CFS) 的术前脆弱性评估显著预测了老年结直肠癌手术患者的不良结果. 虚弱的患者在手术后经历了更大的功能衰退和不良事件.
科学领域:
- 老年人手术是一门老年手术.
- 在瘤学瘤学.
- 临床脆弱性评估的评估
背景情况:
- 虚弱是老年手术患者不良结果的关键预测因素.
- 在澳大利亚结直肠癌手术实践中缺乏常规的脆弱性评估.
- 临床脆弱度表 (CFS) 是一个潜在的手术前评估工具.
研究的目的:
- 检查临床脆弱度量 (CFS) 的术前使用情况.
- 在接受结直肠癌手术的老年患者中预测术后功能结果.
主要方法:
- 老年结肠直肠癌患者的回顾性观察队列研究 (n=227).
- 自选的大型结肠直肠手术从2016年至2020年.
- 追溯计算的CFS;分析了与功能结果的关系.
主要成果:
- 虚弱的患者 (n=111) 显示显著的术后功能下降.
- 在脆弱患者中,支持护理的出院率更高 (57%vs0.9%).
- 虚弱是获得支持护理的最强独立预测因素 (OR 109.3).
结论:
- 手术前的虚弱与术后的功能衰退有显著的关联.
- 不良的术后结果与脆弱性有关.
- 慢性疲劳症在手术患者的手术前脆弱性评估中显示出潜在的实用性.
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