泌尿病患者的手术前老年诊断评估:一个叙事性综述
1Department for Acute Geriatric Care; Clinic Favoriten, Vienna, Austria.
Current opinion in urology
|March 5, 2024
概括
虚弱和肉显著影响老年泌尿病患者的结果,增加并发症和死亡风险. 术前老年医学评估对于优化外科手术方法和患者护理至关重要.
科学领域:
- 老年医学 老年医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 衰老研究研究 衰老研究
背景情况:
- 全球人口正在老龄化,60岁以上的人口比例正在上升. 虚弱和肉是影响健康结果的关键与年龄相关的疾病.
- 虚弱是患病率,死亡率和医疗干预后并发症的重要危险因素,特别是在老年人中.
研究的目的:
- 为了研究虚弱,肉症和营养不良对老年泌尿病患者的结果的影响.
- 突出老年评估在泌尿外科手术中的重要性.
主要方法:
- 对老年泌尿病患者的虚弱指数 (例如5项虚弱指数) 和查工具 (例如G8问卷) 的价值进行现有研究的审查.
- 专注于衰老现象和术后并发症之间的相关性.
主要成果:
- 衰老现象,如虚弱和皮症,与术后并发症,感染,再入院率和死亡率的增加有关.
- 研究已经探索了特定评估工具的实用性,例如5项脆弱性指数和G8问卷.
结论:
- 在老年人的泌尿外科手术中,老年人评估越来越重要.
- 需要简单的,临床上可行的仪器用于例行手术前评估.
- 在手术前评估老年综合征的风险,可以为最佳的患者管理提供量身定制的治疗策略.
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