周围的非手术性普通和中期手术 (GERIATRIC) 风险分层工具
Laurence Weinberg1,2, Dong Kyu Lee3, Luke Fletcher1,4
1From the Department of Anesthesia, Austin Health, Heidelberg, Australia.
概括
一个新的风险工具准确地预测了非常老年 (90岁以上) 患者的手术并发症和死亡率. 该GERIATRIC工具帮助临床医生为非老年人和百岁的外科病人做出决策.
科学领域:
- 老年人手术是一门老年手术.
- 经营期风险分层的分层.
- 老年人的手术结果.
背景情况:
- 对于非老年人和百岁以上的手术患者 (90岁以上) 没有经过验证的风险工具.
- 这个年龄组面临着独特的外科手术期间的挑战和风险.
研究的目的:
- 开发和验证非基因和基因外科 (GERIATRIC) 风险工具.
- 为了分类患有术后并发症或死亡风险的非常老年患者.
主要方法:
- 对3085名非老年人和百岁以上的外科手术患者进行了回顾性观察研究.
- 开发和验证使用后勤回归的GERIATRIC风险工具.
- 将GERIATRIC工具准确度与年龄调整的查尔森并发症指数进行比较.
主要成果:
- 老年风险工具在任何术后并发症 (AUROC 0.857) 和严重并发症 (AUROC 0.833) 中都表现出良好的分辨准确度.
- 在住院死亡率 (AUROC 0.780) 中观察到公平的歧视性准确性.
- 该工具的表现优于年龄调整后的查尔森并发症指数.
结论:
- 老年风险工具准确地对非常老年患者的严重并发症或死亡风险进行了分类.
- 该工具支持外科临床医生在非老年人和百岁老人的共同决策和短期预后.
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