Clinical Guidelines for Perioperative Care of Older and Oldest-Old Patients Living with Frailty Undergoing Elective Surgery
O. N. Tkacheva,
N. K. Runikhina,
Yu. V. Kotovskaya,
S. R. Gilyarevsky,
L. A. Aleksanyan,
A. V. Rozanov,
A. A. Pronchenko,
A. Yu. Molchanova,
K. A. Eruslanova,
A. V. Naumov,
N. M. Vorobyova,
E. A. Mkhitaryan,
M. A. Cherdak,
A. A. Galaeva,
N. V. Sharashkina,
V. S. Ostapenko,
M. R. Khokonov,
I. V. Sirotin,
G. G. Krivoborodov,
A. Z. Khashukoeva,
G. O. Andreasyan,
I. G. Chulovskaya,
A. Kh. Magdiev,
D. V. Kolesnikov,
V. Yu. Vlasov,
E. V. Prusov,
A. F. Farzutdinov,
N. O. Khovasova,
E. N. Dudinskaya,
M. M.-M.B. Balaeva,
A. Yu. Shchedrina,
L. I. Merkusheva,
E. V. Ivannikova,
R. I. Isaev https://doi.org/10.37586/2686-8636-4-2023-218-232
Abstract
The population of older and oldest-old individuals is increasing at a rapid pace, leading to a notable proportion of this age group requiring surgical procedures due to multimorbidity. It is known that, compared with young people, patients over 60 have a whole set of factors, such as decreased physiological functions, the presence of several concomitant diseases, polypharmacy, cognitive dysfunction and specific geriatric syndromes, which may lead to a higher risk of postoperative complications and prolonged recovery. Therefore, an integrated multidisciplinary approach on management is necessary for this group of patients, but the use of such an approach is currently rare. The purpose of this document is to review the literature, summarize current recommendations, and provide a set of expert recommendations to assist practicing geriatricians, surgeons, anesthetists, and allied health professionals.
About the Authors
O. N. Tkacheva
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Russian Federation
Russian Federation
Tkacheva Olga N., MD, PhD, professor, corresponding member of the Russian Academy of Sciences
Телефон: +7(499)187-64-67
Moscow
N. K. Runikhina
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Runikhina Nadezhda K., MD, PhD, professor, Deputy Director
Телефон: +7(499)187-78-09
Moscow
Yu. V. Kotovskaya
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Kotovskaya Yulia V., MD, PhD, professor, Deputy Director
телефон: +7(499)187-78-09
Moscow
S. R. Gilyarevsky
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Gilyarevsky Sergey R., MD, PhD, professor, Senior researcher, Professor of the Department of Clinical Pharmacology and Therapy of RMACPE
Moscow
L. A. Aleksanyan
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Alexanyan Lianna A., MD, PhD, Chief physician
Moscow
A. V. Rozanov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Rozanov Alexander V., MD, PhD, Assistant Director for Regional Development and Federal Projects
телефон: +7(985)991-75-47
Moscow
A. A. Pronchenko
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Pronchenko Alexander A., MD, PhD, Deputy Chief Physician for Surgery
Moscow
A. Yu. Molchanova
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Molchanova Alexandra Yu., MD, Deputy Chief Physician for Therapy
Moscow
K. A. Eruslanova
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Eruslanova Ksenia A., MD, PhD, Head of Laboratory of Cardiovascular Aging
Телефон: +7(499)187-78-09
Moscow
A. V. Naumov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Naumov Anton V., MD, PhD, Head of Bone and Muscular Diseases Laboratory
Moscow
N. M. Vorobyova
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Vorobyeva Natalia M., MD, PhD, Senior researcher, Clinical Pharmacology and Pharmacotherapy Laboratory
Moscow
E. A. Mkhitaryan
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Mkhitaryan Elen A., MD, PhD, Associate professor, Agerelated diseases department
телефон: +7(916)653-36-78
Moscow
M. A. Cherdak
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Cherdak Maria A., MD, PhD, Associate professor, The Department of Aging Diseases, The Faculty of Additional Professional Education
Moscow
A. A. Galaeva
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Galaeva Amina A., MD, Head of the Department of Geriatric Neurology
Moscow
N. V. Sharashkina
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Sharashkina Natalia V., MD, PhD, Head of Geriatrics Laboratory, Associate professor, Age-Related Diseases Department
Moscow
V. S. Ostapenko
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Ostapenko Valentina S., MD, PhD, Head of Geriatrics Department, Associate Professor, Age-Related Diseases Department
Moscow
M. R. Khokonov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Khokonov Murat R., MD, PhD, Head of The Cardiac Surgery Department
Moscow
I. V. Sirotin
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Sirotin Ivan V., MD, PhD, Associate professor, Head of orthopedics department
Moscow
G. G. Krivoborodov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Krivoborodov Grigory G., MD, PhD, professor of Urology and Andrology Department, Faculty of General Medicine
Moscow
A. Z. Khashukoeva
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Khashukoyeva Asiyat Z. MD, PhD, professor, Department of Obstetrics and Gynecology, obstetrician-gynecologist Gynecology department
Moscow
G. O. Andreasyan
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Andreasyan Gagik H., MD, PhD, Head of Department of Gynecology
Moscow
I. G. Chulovskaya
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Chulovskay Irina G., MD, PhD, Professor of the Department of Traumatology, Orthopedics and Military Surgery
Moscow
A. Kh. Magdiev
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Magdiev Arslan Kh., MD, PhD, Head of Surgery Department
Moscow
D. V. Kolesnikov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Kolesnikov Dmitry V., MD, PhD, Head of the Department of Surgical Methods for the Treatment of Complex Rhythm Disorders and Cardiac Pacing
Moscow
V. Yu. Vlasov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Vlasov Vsevolod Yu., Head of the Department of X-ray Surgical Diagnostics and Treatment Methods
Moscow
E. V. Prusov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Prusov Evgeny V., MD, Head of the Department of Anesthesiology and Reanimation
Moscow
A. F. Farzutdinov
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Farzutdinov Arthur F., MD, PhD, Head of the Department of Anesthesiology and Resuscitation and Intensive Care
Moscow
N. O. Khovasova
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Khovasova Natalia O., MD, PhD, associate professor, AgeRelated Riseases Department, Senior researcher, Laboratory of Musculoskeletal Diseases
Moscow
E. N. Dudinskaya
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Dudinskaya Ekaterina N., MD, PhD, professor, Head of Age-Related Endocrine and Metabolic Disorders Laboratory
Moscow
M. M.-M.B. Balaeva
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Balaeva Madina М.-B., Geriatrician, Junior Researcher, Laboratory of General Geriatrics
Moscow
A. Yu. Shchedrina
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Schedrina Anna Yu., MD, PhD, Head of Geriatric Cardiology Department
Moscow
L. I. Merkusheva
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Merkusheva Ludmila I., MD, PhD, geriatrician and nephrologist
Moscow
E. V. Ivannikova
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Ivannikova Ekaterina V., MD, PhD, Senior researcher, Endocrine and Metabolic Disorders Laboratory
Moscow
R. I. Isaev
Pirogov National Research Medical University, Russian Gerontology Research and Clinical Centre
Isaev Ruslan I., MD, Junior researcher, Laboratory of NeuroGeriatrics
Moscow
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For citations:
Tkacheva O.N., Runikhina N.K., Kotovskaya Yu.V., Gilyarevsky S.R., Aleksanyan L.A., Rozanov A.V., Pronchenko A.A., Molchanova A.Yu., Eruslanova K.A., Naumov A.V., Vorobyova N.M., Mkhitaryan E.A., Cherdak M.A., Galaeva A.A., Sharashkina N.V., Ostapenko V.S., Khokonov M.R., Sirotin I.V., Krivoborodov G.G., Khashukoeva A.Z., Andreasyan G.O., Chulovskaya I.G., Magdiev A.Kh., Kolesnikov D.V., Vlasov V.Yu., Prusov E.V., Farzutdinov A.F., Khovasova N.O., Dudinskaya E.N., Balaeva M.M., Shchedrina A.Yu., Merkusheva L.I., Ivannikova E.V., Isaev R.I. Clinical Guidelines for Perioperative Care of Older and Oldest-Old Patients Living with Frailty Undergoing Elective Surgery. Russian Journal of Geriatric Medicine. 2023;16(4):218-232. (In Russ.) https://doi.org/10.37586/2686-8636-4-2023-218-232
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