Long-Term Outcomes in Elderly Surgical Patients

被引:45
作者
Deiner, Stacie [1 ]
Silverstein, Jeffrey H. [1 ]
机构
[1] Mt Sinai Sch Med, Dept Anesthesiol, New York, NY 10029 USA
来源
MOUNT SINAI JOURNAL OF MEDICINE | 2012年 / 79卷 / 01期
关键词
delirium; geriatrics; long-term outcomes; postoperative cognitive dysfunction; surgical site infection; SUPPLEMENTAL PERIOPERATIVE OXYGEN; SITE INFECTION; NONCARDIAC SURGERY; ALZHEIMERS-DISEASE; COGNITIVE DYSFUNCTION; ABDOMINAL-SURGERY; WOUND INFECTION; NITROUS-OXIDE; OLDER; FRAILTY;
D O I
10.1002/msj.21288
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anesthesia has developed to the point where long-term outcomes are important endpoints. Elderly patients are becoming an increasingly large part of most surgical practices, consistent with demographic shifts. Long-term outcomes are particularly important for this group. In this review, we discuss functional outcomes in the elderly. We describe the areas of cognitive change and frailty, both of which are specific to the elderly. We also discuss prevention of surgical infections and emerging evidence around hemodynamic alterations in the operating room and their impact on long-term outcomes. Mt Sinai J Med 79:95106, 2012. (c) 2012 Mount Sinai School of Medicine
引用
收藏
页码:95 / 106
页数:12
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