Why the study?
The growing number of elderly and senile surgical patients aggravates complication rates and treatment outcomes, necessitating a summary of clinical challenges and solutions in managing senile asthenia.
A multidisciplinary approach to perioperative care and risk stratification is essential for improving outcomes in elderly surgical patients with frailty (senile asthenia).
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Frailty heightens perioperative risks in elderly surgical patients; leaves open validated pathways for early diagnosis and management.
The objective : to summarize data from publications devoted to the problems faced by clinicians when managing patients with senile asthenia. Results : the growing number of surgical patients of elderly and senile ages aggravates the negative statistics of complications and treatment results, thus it is necessary to search for a comprehensive effective solution to this problem. Understanding the pathophysiological models causing senile asthenia allows not only focusing on early diagnosis and management of potential complications but also preventing their development. Risk stratification, comprehensive diagnosis of functional status and geriatric syndromes in the light of a possible adverse postoperative period make it possible to choose the optimal analgesia and perioperative management of a patient with senile asthenia. The clinical organization of the treatment process and rehabilitation treatment based on multidisciplinary interaction in such patients improves postoperative results.
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Gubaydullin et al. (2020) studied this question.
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