Scholarlink

<p>In acute care general surgery, quick, informed decisions are difficult due to limited knowledge of the patient’s medical history and functional level. While urgent emergency surgeries can save lives, delays and unnecessary procedures can adversely affect outcomes. Assessing frailty and failure to rescue (FTR) with suitable tools is crucial. In addition to understanding the severity of the illness, surgical risks, and postoperative care issues, knowing therapeutic alternatives is essential for an individualized treatment plan. Shifting the focus of surgical decision-making from an isolated surgical issue (the “fix-it” model) involves discussing outcomes and considering alternative options beyond surgery. This ensures alignment of patient goals and treatment strategies, including any agreed limitations on care escalation [<CitationRef CitationID="CR48">48</CitationRef>, <CitationRef CitationID="CR49">49</CitationRef>]. Emergency general surgery for geriatric patients is a&#xa0;complex topic and needs a&#xa0;tailored approach to improve outcomes and avoid unnecessary care. Despite some good studies in related fields, evidence for perioperative care of the elderly remains limited (Fig.&#xa0;<InternalRef RefID="Fig1">1</InternalRef>).</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Acute care surgery in geriatric patients

  • 期刊论文

  • 发表日期：

    2025年10月2日

查看全文
  • Hannes Schmoelzer,
  • Robert Hammer,
  • Hubert Hauser

摘要

In acute care general surgery, quick, informed decisions are difficult due to limited knowledge of the patient’s medical history and functional level. While urgent emergency surgeries can save lives, delays and unnecessary procedures can adversely affect outcomes. Assessing frailty and failure to rescue (FTR) with suitable tools is crucial. In addition to understanding the severity of the illness, surgical risks, and postoperative care issues, knowing therapeutic alternatives is essential for an individualized treatment plan. Shifting the focus of surgical decision-making from an isolated surgical issue (the “fix-it” model) involves discussing outcomes and considering alternative options beyond surgery. This ensures alignment of patient goals and treatment strategies, including any agreed limitations on care escalation [48, 49]. Emergency general surgery for geriatric patients is a complex topic and needs a tailored approach to improve outcomes and avoid unnecessary care. Despite some good studies in related fields, evidence for perioperative care of the elderly remains limited (Fig. 1).