老年人的外科手术期肺部并发症:被遗忘的系统
Zyad J Carr1, Saul Siller1, Brittany J McDowell2
1Department of Anesthesiology, Yale University School of Medicine, TMP-3, 333 Cedar Street, New Haven, CT 06520, USA.
由于人口老龄化和手术率上升,对老年人进行术后肺部并发症的管理至关重要. 本综述提供了基于证据的策略,用于检测,评估和管理这些老年患者的风险.
科学领域:
- 老年医学 老年医学
- 麻醉学 麻醉学
- 肺部病理学 肺部病理学
- 改善外科手术的质量
背景情况:
- 全球人口正在快速老龄化,导致接受手术的老年患者的患病率更高.
- 全球手术数量不断增加,需要更好地管理术后风险,特别是肺部并发症.
- 在老年人群中,外科手术期间的肺部并发症对患者的治疗结果和医疗保健质量构成重大威胁.
研究的目的:
- 分析老年人群中围手术期肺部并发症的基于证据的文献.
- 为检测,风险分层,优化和管理这些并发症提供可行的管理策略.
- 提高接受手术的老年患者的护理质量.
主要方法:
- 对现有的基于证据的文献进行叙述性审查.
- 对专注于老年人经手术期肺部并发症的研究进行分析.
- 综合管理策略,用于风险检测,分层,优化和处理.
主要成果:
- 确定老年外科手术患者肺部并发症的主要危险因素.
- 评估当前的诊断和风险分层工具.
- 编制基于证据的建议,以优化手术前的患者状况.
- 在外科手术期间管理确定的肺部并发症的策略概要.
结论:
- 在老年人中有效管理外科手术期间的肺部并发症需要采用多方面的方法.
- 早期检测,准确的风险分层和积极的优化对于改善结果至关重要.
- 实施基于证据的策略可以显著减少老年手术患者肺部并发症的发生率和严重程度.
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