The problem of preoperative assessment of patients of older age groups-Reference-Cited by-同舟云学术

The problem of preoperative assessment of patients of older age groups

Published:2022-12-05 Issue:3 Volume: Page:161-167
ISSN:2686-8709
Container-title:Russian Journal of Geriatric Medicine
language:
Short-container-title:Rossiiskii zhurnal geriatricheskoi meditsiny

Author:

Trotsyuk D. V.¹^ORCID,Zaripova Z. A.²^ORCID,Medvedev D. S.³^ORCID,Volkov A. O.⁴^ORCID

Affiliation:

1. Belgorod State University, Private University «Saint Petersburg Medico-Social Institute» (“SPbMSI”)

2. I.I. Pavlov First Saint Petersburg State Medical University

3. ANO SIC «Saint-Petersburg Institute of Bioregulation and Gerontology», «Scientific Research Institute of Hygiene, Occupational Pathology and Human Ecology» of the Federal Medical and Biological Agency

4. Private University «Saint Petersburg Medico-Social Institute» (“SPbMSI”)

Abstract

Age-associated processes combined with comorbidity affect the physiological reserves of patients of older age groups, having a negative impact on the surgery and the postoperative period. One of the most important geriatric syndromes, closely related to the treatment outcome in patients over 60, is frailty. The prevalence of frailty increases with age, and that is associated with a worsening of the perioperative prognosis, prolonged hospitalization, and an increase in mortality. The methods widely used for perioperative risk stratification do not take into account the presence and severity of frailty, changes in the functional state and reserve capabilities of the body, which reduces their sensitivity for patients of older age groups. The article considers the generally accepted approaches to risk stratification and identifies further development prospects in this area.

Publisher

Autonomous non-profit organization-Society of Specialists in the Field Innovative Medical Technology

Subject

General Materials Science

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