中国实用外科杂志2025，Vol.45Issue(2)：160-164,5.DOI:10.19538/j.cjps.issn1005-2208.2025.02.06
重视老年外科病人衰弱评估
Emphasizing the importance of frailty assessment in elderly surgical patients
摘要
Abstract
The acceleration of aging has made frailty a key factor influencing the prognosis of elderly surgical patients.The frailty significantly increaes the risk of postoperative complications,mortality,and adverse discharge outcomes.Therefore,identifyingand assessing frailty during the perioperative period is.crucial.Commonly used frailty assessment tools include the fried frailty phenotype,frailty index,clinical frailty scale,and comprehensive geriatric assessment.However,due to the complexity of these assessments and the lack of standardized criteria,their clinical application rate remains low.A"two-step screening"strategy using the geriatric screening tool-8 followed by the Comprehensive Geriatric Assessment enables efficient and thorough evaluation of high-risk patients,facilitating precisely targeted interventions.Advances in artificial intelligence and molecular biology provide new opportunities for automating and personalizing frailty assessment,which could promote standardized application of frailty evaluation,further optimize the management of elderly surgical patients,and improve postoperative quality of life.关键词
老年外科病人/衰弱评估/围手术期管理/预后Key words
elderly surgical patients/frailty assessment/perioperative management/prognosis分类
医药卫生引用本文复制引用
周文涛,楼文晖..重视老年外科病人衰弱评估[J].中国实用外科杂志,2025,45(2):160-164,5.基金项目
Shanghai Municipal Health Commission(No.202340104,No.20224Y0307) 上海市卫生健康委员会项目(No.202340104,20224Y0307) （No.202340104,No.20224Y0307）
