Perioperative Medicine for Older People

被引:0
作者
Rogerson, Andrew [1 ]
Partridge, Judith S. L. [2 ]
Dhesi, Jugdeep K. [2 ]
机构
[1] Sengkang Gen Hosp, Dept Gen Med, Singapore, Singapore
[2] Guys & St Thomas NHS Fdn Trust, Dept Ageing & Hlth, Proact Care Older People Undergoing Surg POPS, London, England
关键词
Comprehensive geriatric assessment; Geriatrician-led multidisciplinary team; Optimisation; COMPREHENSIVE GERIATRIC ASSESSMENT; PATIENTS AGED 80; POSTOPERATIVE OUTCOMES; SURGERY; MORTALITY;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Global demographic changes have resulted in an older, frailer surgical population with significant multimorbidity causing higher frequency of adverse postoperative outcomes. The need for restructuring of perioperative care pathways to address this issue has been recognised. Comprehensive geriatric assessment (CGA) and optimisation are emerging as innovative perioperative pathways.This paper describes one centre's approach in applying CGA in the surgical setting and presents the evidence in support of this. Similar models are being established in Singapore in hip fracture, colorectal and vascular populations. The challenges in the widespread adoption of such models of care are similar across settings. The global nature of translation is also discussed in this paper.
引用
收藏
页码:376 / 381
页数:6
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