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在英国接受手术的老年患者的特征:SNAP-3,即时快照观察性研究

Claire Jane Swarbrick¹, Karen Williams², Bob Evans³

¹Anaesthesia, Royal Devon University Healthcare NHS Foundation Trust, Exeter, UK; Centre for Research and Improvement, Royal College of Anaesthetists, London, UK; Anaesthesia a Critical Care, Injury, Recovery and Inflammation Sciences, University of Nottingham, Nottingham, UK.

British journal of anaesthesia

|January 7, 2025

概括

在英国,每五名老年手术患者中就有一人患有虚弱,近三分之二患有多病症. 这些发现强调了在手术护理中需要进行脆弱查的必要性.

科学领域:

老年医学老年医学
手术患者护理手术患者护理
公共卫生公共卫生

背景情况:

老年人中脆弱性和多病性很普遍,但它们在手术患者中的相互作用尚不清楚.
这项研究描述了一组多样化的英国老年手术患者.

研究的目的:

描述英国老年手术患者的脆弱性和多病症的患病率和临床特征.
在这个人群中调查脆弱性和多病症之间的相互作用.

主要方法:

一项前性观察队列研究于2022年3月5天进行.
招募的英国患者年龄在60岁以上,接受手术 (不包括轻微手术).
收集了关于患者人口统计,临床护理,脆弱性 (临床脆弱性评分≥5) 和多病症 (≥2种并发症) 的数据.

主要成果:

从214家医院招募了7134名患者 (平均年龄为72.8岁).
19%的人有脆弱性,63.1%的人有多发病性. 虚弱和多病症与年龄较大,社会经济地位较低,多药性和独立性降低有关.
患有虚弱的患者不太可能接受选择性或日间手术. 在脆弱性和多病症之间观察到高并发性重叠.

结论:

大约20%的英国老年手术患者出现虚弱,近65%患有多病症.
这些发现强调了在手术环境中对脆弱性查的关键需求.
这些数据可以为资源分配和未来研究提供信息,以优化对这一人口群的护理.

关键词:

年龄化的衰老.流行病学流行病学虚弱综合征虚弱综合征老年医学老年医学多病态性多病态性在外科手术期间的护理.手术手术手术手术手术手术手术

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