对接受紧急手术的老年人进行术后治疗方案:一个范围审查
Brianna Greenberg1, Stephanie Jiang2, Ashlie Nadler2
1From the Department of Surgery, University of Toronto, Toronto, Ont. (Greenberg, Jiang); and the Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Ont. (Nadler) briannagreenberg33@gmail.com.
多学科的术后方案改善了接受紧急手术的老年人的结果. 这些干预措施减少了住院时间,并发症,并增强了恢复,促进恢复到以前的功能状态.
科学领域:
- 老年医学 老年医学
- 在外科手术期间的护理.
- 外科手术的结果
背景情况:
- 人口老龄化需要紧急手术的专业外科手术协议.
- 老年人面临着独特的生理,功能和认知挑战.
- 确定有效的协议对于改善这一人口群体的结果至关重要.
研究的目的:
- 确定改善处置,停留时间和健康结果的外科手术期间协议.
- 专注于接受紧急内腔外科,非心脏手术的老年人.
- 改善对需要紧急手术干预的老年患者的护理.
主要方法:
- 对Embase,Cochrane和MEDLINE数据库进行系统审查.
- 包括对65岁以上接受紧急内腔外科手术的非心脏手术患者的研究.
- 对针对痴呆症,功能状态和停留时间的术后干预措施的审查.
主要成果:
- 分析了六项研究,涉及一般,泌尿病和血管紧急手术.
- 干预措施包括多学科团队,老年医师参与和标准化订单.
- 积极的结果:停留时间缩短,并发症减少,对家庭和功能状态的改善.
结论:
- 多学科的术后干预显著改善了老年手术患者的治疗结果.
- 协议有助于减少住院时间和促进康复.
- 调查结果为老年人手术护理的质量改善计划提供了信息.
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