老年患者门诊整形外科的结果:一项回顾性研究
Eva Borges1,2, Sara Fernandes1,2, Catarina Spínola Almeida1,2
1General Surgery, Unidade Local de Saúde (ULS) Santa Maria, Lisbon, PRT.
Cureus
|September 29, 2025
概括
门诊手术对75岁以上的老年人来说是安全的,对年轻患者来说,重新干预和并发症的发生率与年轻患者相似. 综合性手术前评估,而不仅仅是年龄,应该指导老年患者的手术决定.
科学领域:
- 老年人手术是一门老年人手术.
- 健行外科手术 健行外科手术
- 一般外科 整体外科
背景情况:
- 老年人是手术患者的比例越来越高.
- 门诊手术提供了效率和更低的成本.
- 评估75岁以上患者的门诊手术的安全性至关重要.
研究的目的:
- 评估75岁以上患者的门诊整体外科手术的安全性和可行性.
- 为了比较老年人 (75岁以上) 与年轻的对照组 (75岁以下) 的结果.
主要方法:
- 在专门的门诊外科病房进行了回顾性观察性研究 (2020年1月 - 2023年1月).
- 包括75岁以上在全身麻醉下接受整体手术的患者;通过随机抽样选择的75岁以下的对照组.
- 主要结局:在30天内重新进行手术. 二次结果:急诊室的访问,术后并发症.
主要成果:
- 老年患者 (75岁以上) 的ASA得分和并发症指数较高,但与年轻患者相比,手术重新干预 (1.0%与2.0%) 和并发症率 (17.1%与15.5%) 相比较高.
- 在较老的队列中,计划外的紧急诊所的频率明显较低 (1.0%对4.5%).
- 大多数并发症都是轻微的;只有1.0%的老年患者需要住院超过24小时.
结论:
- 门诊整体手术对于75岁以上的老年患者来说是安全和可行的.
- 功能状态和整体健康状况,而不是单独的时间年龄,是手术资格的关键决定因素.
- 在日益增长的老年人群中,全面的手术前评估对于指导手术决策至关重要.
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