Perioperative care for the elderly patient

被引:45
作者
Beliveau, MM
Multach, M
机构
[1] Mayo Clin, Div Gen Internal Med, Rochester, MN 55905 USA
[2] Univ Miami, Sch Med, Div Gen Internal Med, Miami, FL 33101 USA
关键词
D O I
10.1016/S0025-7125(02)00155-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Older patients undergo surgical procedures more frequently than younger patients. The procedures undergone by elderly patients are often more complex, higher risk, and, although usually elective, more likely to be emergent than in younger patients. Finally, these procedures are more likely to have an impact on the quality of life in this population. This article reviews areas in the preoperative and postoperative settings that can help improve surgical outcomes.
引用
收藏
页码:273 / +
页数:18
相关论文
共 68 条
[1]   Age versus comorbidities as risk factors for complications after elective abdominal aortic reconstructive surgery [J].
Berry, AJ ;
Smith, RB ;
Weintraub, WS ;
Chaikof, EL ;
Dodson, TF ;
Lumsden, AB ;
Salam, AA ;
Weiss, V ;
Konigsberg, S .
JOURNAL OF VASCULAR SURGERY, 2001, 33 (02) :345-352
[2]   Preoperative smoking habits and postoperative pulmonary complications [J].
Bluman, LG ;
Mosca, L ;
Newman, N ;
Simon, DG .
CHEST, 1998, 113 (04) :883-889
[3]  
CLEMENCY MV, 1994, ANESTH ANALG, V78, P651
[4]   Do not resuscitate orders in the perioperative period: Patient perspectives [J].
Clemency, MV ;
Thompson, NJ .
ANESTHESIA AND ANALGESIA, 1997, 84 (04) :859-864
[5]   MONITORING OPERATIVE RISK IN THE ELDERLY [J].
DELGUERCIO, LRM ;
COHN, JD .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (13) :1350-1355
[6]   DIETARY SUPPLEMENTATION IN ELDERLY PATIENTS WITH FRACTURED NECK OF THE FEMUR [J].
DELMI, M ;
RAPIN, CH ;
BENGOA, JM ;
DELMAS, PD ;
VASEY, H ;
BONJOUR, JP .
LANCET, 1990, 335 (8696) :1013-1016
[7]   Delirium on hospital admission in aged hip fracture patients: Prediction of mortality and 2-year functional outcomes [J].
Dolan, MM ;
Hawkes, WG ;
Zimmerman, SI ;
Morrison, RS ;
Gruber-Baldini, AL ;
Hebel, JR ;
Magaziner, J .
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES, 2000, 55 (09) :M527-M534
[8]  
Dzankic S, 2000, ANESTH ANALG, V90, pU110
[9]   Guidelines for perioperative cardiovascular evaluation for noncardiac surgery: An abridged version of the report of the American College of Cardiology American Heart Association task force on practice guidelines [J].
Eagle, KA ;
Brundage, BH ;
Chaitman, BR ;
Ewy, GA ;
Fleisher, LA ;
Hertzer, NR ;
Leppo, JA ;
Ryan, T ;
Schlant, RC ;
Spencer, WH ;
Spittell, JA ;
Twiss, RD .
MAYO CLINIC PROCEEDINGS, 1997, 72 (06) :524-531
[10]   ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery - Executive summary [J].
Eagle, KA ;
Berger, PB ;
Calkins, H ;
Chaitman, BR ;
Ewy, GA ;
Fleischmann, KE ;
Fleisher, LA ;
Froehlich, JB ;
Gusberg, RJ ;
Leppo, JA ;
Ryan, T ;
Schlant, RC ;
Winters, WL ;
Gibbons, RJ ;
Antman, EM ;
Alpert, JS ;
Faxon, DP ;
Fuster, V ;
Gregoratos, G ;
Jacobs, AK ;
Hiratzka, LF ;
Russell, RO ;
Smith, SC .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 39 (03) :542-553