Perioperative Management of Elderly patients (PriME): recommendations from an Italian intersociety consensus
| Autor: | Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva, Paola Aceto, Stefania Maggi, Maria Caterina Pace, Gabriella Bettelli, Marco Montorsi, F. Petrini, Associazione Italiana di Psicogeriatria, Marco Trabucchi, Stefano Volpato, Fernando Chiumiento, Antonio Crucitti, Michele Carron, Antonio Corcione, Raffaele Antonelli Incalzi, Concezione Tommasino |
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| Přispěvatelé: | Aceto, P., Antonelli Incalzi, R., Bettelli, G., Carron, M., Chiumiento, F., Corcione, A., Crucitti, A., Maggi, S., Montorsi, M., Pace, M. C., Petrini, F., Tommasino, C., Trabucchi, M., Volpato, S. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Aging
medicine.medical_specialty Consensus Settore MED/18 - CHIRURGIA GENERALE Population Consensu Comorbidity 030204 cardiovascular system & hematology Comprehensive geriatric assessment NO Analgesia Anesthesia Frail older Older patients Perioperative care Surgery 03 medical and health sciences Older patient 0302 clinical medicine Multidisciplinary approach Settore MED/41 - ANESTESIOLOGIA Health care medicine 80 and over Humans 030212 general & internal medicine Elective surgery Intensive care medicine Cognitive impairment education Consensus Document Geriatric Assessment Aged Aged 80 and over education.field_of_study Perioperative management business.industry Geriatricians Integrated care Italy Geriatrics and Gerontology business Human |
| Zdroj: | Aging Clinical and Experimental Research |
| Popis: | BackgroundSurgical outcomes in geriatric patients may be complicated by factors such as multiple comorbidities, low functional performance, frailty, reduced homeostatic capacity, and cognitive impairment. An integrated multidisciplinary approach to management is, therefore, essential in this population, but at present, the use of such an approach is uncommon. The Perioperative Management of Elderly patients (PriME) project has been established to address this issue.AimsTo develop evidence-based recommendations for the integrated care of geriatric surgical patients.MethodsA 14-member Expert Task Force of surgeons, anesthetists, and geriatricians was established to develop evidence-based recommendations for the pre-, intra-, and postoperative care of hospitalized older patients (≥ 65 years) undergoing elective surgery. A modified Delphi approach was used to achieve consensus, and the strength of recommendations and quality of evidence was rated using the U.S. Preventative Services Task Force criteria.ResultsA total of 81 recommendations were proposed, covering preoperative evaluation and care (30 items), intraoperative management (19 items), and postoperative care and discharge (32 items).ConclusionsThese recommendations should facilitate the multidisciplinary management of older surgical patients, integrating the expertise of the surgeon, the anesthetist, the geriatrician, and other specialists and health care professionals (where available) as needed. These roles may vary according to the phase and setting of care and the patient’s conditions. |
| Databáze: | OpenAIRE |
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