Научно-практический рецензируемый журнал
"Современные проблемы здравоохранения
и медицинской статистики"
Scientific journal «Current problems of health care and medical statistics»

Диагностика и профилактика преждевременного старения

Геронтология и гериатрия

OPTIMIZATION OF PREOPERATIVE ASSESSMENT OF PATIENTS WITH FRAILTY SYNDROME FOR DELIRIUM PREVENTION

O. Kudryavtsev1,2, K. Kozlov2,3, I. Oleksyuk2,3, T.V. Evdokimova4
1. MariinskyCiry Hospital cath lab., St. Petersburg, Russia
2. Institute of Bio – regulation and Gerontology, St. Petersburg, Russia.
3. S.M. Kirov Military Medical Academy, St. Petersburg, Russia.
4. The Federal State Budgetary Institution «Saint - Petersburg Postgraduate Institute of Medical experts» of the Ministry of Labor and Social Protection of the Russian Federation, Saint Petersburg
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Summary:
Actuality: Frailty is a geriatric syndrome characterized by an age-associated decrease in the physiological reserve and functions of many body systems, leading to an increased vulnerability of the elderly organism to the effects of endo- and exogenous factors, with a high risk of adverse outcomes for health, loss of autonomy and death [1]. Purpose: To develop ways to optimize the preoperative preparation of patients with senile asthenia in order to prevent postoperative delirium and evaluate their effectiveness. Material and methods: 279 people: control group - standard management, 133 patients aged 66 to 86 years (average age 71.4 + 1.2 years, men - 74 people, women - 59 people); the studied group - management according to the algorithm, 146 elderly patients aged 65 to 84 years (average age 72.8 + 2.6 years, men - 79 people, women - 67 people). Results: we analyzed the effectiveness of the algorithm we proposed, it turned out that postoperative delirium developed in 38.4 + 0.5 cases in the control group patients, in patients of the study group - 4.3 + 0.01, 8.9 times less often when applying the algorithm for preparing elderly and senile patients with asthenia syndrome for planned surgical interventions on the abdominal organs (χ2 = 0.95, p = 0.6578, which indicated statistically significant differences in the results). Attention was also drawn to the fact that the duration of postoperative delirium was 38.1 + 3.2 hours in patients of the control group, and 11.2 + 1.4 hours (p
Keywords asthenia syndrome, postoperative delirium, old age.

Bibliographic reference:
O. Kudryavtsev, K. Kozlov, I. Oleksyuk, T.V. Evdokimova, OPTIMIZATION OF PREOPERATIVE ASSESSMENT OF PATIENTS WITH FRAILTY SYNDROME FOR DELIRIUM PREVENTION // Scientific journal «Current problems of health care and medical statistics». - 2021. - №1;
URL: http://healthproblem.ru/magazines?textEn=589 (date of access: 21.06.2024).

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