A Consensus on Current Issues of Multidisciplinary Care for Geriatric Patients with Frailty Undergoing Routine Surgical Procedures
https://doi.org/10.37586/2686-8636-3-2024-162-173
Abstract
The demographic shift towards an increasing number of older and oldest-old individuals is a global phenomenon. This trend has been accompanied by a rise in surgical interventions targeting individuals aged 65 years and above.
However, the traditional clinical approach to treating single diseases often proves insufficient for geriatric patients due to multiple factors, such as the presence of multiple chronic conditions, the use of multiple medications, physical frailty, malnutrition, cognitive impairments, and diminished physiological function. With age, metabolic processes tend to slow down, leading to reduced efficiency and diminished ability to cope with stressors.
These factors, coupled with the increasing frequency of surgical interventions, pose a significant risk of postoperative complications and even mortality.
Consequently, a comprehensive approach is essential for geriatric surgical patients. This approach encompasses preoperative assessment, meticulous surgical planning, and complex postoperative care. A multidisciplinary team of medical professionals is indispensable for providing comprehensive care throughout the treatment course.
Keywords
About the Authors
G. G. MelkonyanRussian Federation
Melkonyan G.G., MD, PhD, professor, Associate Professor, Professor of Surgery Department, Federal State Budgetary Educational Institution of Higher Professional Education, Russian Medical Academy of Postgraduate Education; Chief Physician, Hospital for War Veterans № 3
Moscow
D. N. Protsenko
Russian Federation
Protsenko D.N., MD, PhD, Associate Professor, Director, Kommunarka Moscow Multidisciplinary Medical Center of the Moscow City Health Department, Chief Anesthesiologist and Resuscitator of the Moscow City Health Department, Head of the Department of Anesthesiology and Resuscitation, Pirogov Russian National Research Medical University
Moscow
N. K. Runikhina
Russian Federation
Runikhina Nadezhda K., MD, PhD, professor, Deputy Director, Russian Gerontology Research and Clinical Centre, Pirogov Russian National Research Medical University
Moscow
O. N. Tkacheva
Russian Federation
Tkacheva Olga N., MD, PhD, professor, Corresponding Member of the Russian Academy of Sciences, Director, Russian Gerontology Research and Clinical Centre, Pirogov National Research Medical University
Moscow
A. Sh. Revishvili
Russian Federation
Revishvili A.S., MD, PhD, Professor, Academician of the Russian Academy of Sciences, Chief Surgeon and Endoscopist of the Ministry of Health of the Russian Federation, Director, A.V. Vishnevsky Institute of Surgery of the Ministry of Health of the Russian Federation
Moscow
S. V. Tsarenko
Russian Federation
Tsarenko S.V., MD, Professor, Chief Specialist in Anesthesiology and Resuscitation of the Ministry of Health of the Russian Federation; Director, National Medical Research Center «Treatment and Rehabilitation Center» of the Ministry of Health of the Russian Federation
Moscow
K. A. Eruslanova
Russian Federation
Eruslanova Ksenia A., MD, PhD, Head of Laboratory of Cardiovascular Aging, Russian Gerontology Research and Clinical Centre, Pirogov Russian National Research Medical University
Moscow
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Review
For citations:
Melkonyan G.G., Protsenko D.N., Runikhina N.K., Tkacheva O.N., Revishvili A.Sh., Tsarenko S.V., Eruslanova K.A. A Consensus on Current Issues of Multidisciplinary Care for Geriatric Patients with Frailty Undergoing Routine Surgical Procedures. Russian Journal of Geriatric Medicine. 2024;(3):162-173. (In Russ.) https://doi.org/10.37586/2686-8636-3-2024-162-173