老年心脏手术患者衰弱评估及安全管理研究进展
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摘要
综述了老年心脏手术患者衰弱的发生现状、不良结局、预测模型及评估工具,以及预防或改善患者衰弱的运动干预和营养治疗等安全管理策略,为临床护士或研究者寻找或研发适合国内老年心脏手术患者的衰弱评估工具及制订干预措施提供借鉴。
引文
[1]N ashef SA.Is cardiac surgery n ow a geriatric specialty?[J].Crit Care Resusc,2007,9(3):248-250.
[2]Bowry AD,Lewey J,Dugani SB,et al.The burden of cardiovascular disease in low and middle-income countries:epidemiology and management[J].Can J Cardiol,2015,31(9):1151-1159.
[3]Afilalo J,Eisenberg MJ,Morin JF,et al.Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery[J].J Am Coll Cardiol,2010,56(20):1668-1676.
[4]Zalan J,Wilson R,Mcmullen M,et al.Frailty indices as a predictor of postoperative outcomes:a systematic review protocol[J].JBI Database System Rev Implement Rep,2015,13(8):30-40.
[5]Fried LP,Ferrucci L,Darer J,et al.Untangling the concepts of disability,frailty,and comorbidity:implications for improved targeting and care[J].J Gerontol A Biol Sci Med Sci,2004,59(3):255-263.
[6]Afilalo J,Lauck S,Kim DH,et al.Frailty in older adults undergoing aortic valve replacement:the FRAILTY-AVR study[J].JAm Coll Cardiol,2017,70(6):689-700.
[7]Lee DH,Buth KJ,Martin BJ,et al.Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery[J].Circulation,2010,121(8):973-978.
[8]李畅妍,何华英.老年衰弱的护理评估及研究进展[J].护理研究,2016,30(12):4485-4488.
[9]Afilalo J,Mottillo S,Eisenberg MJ,et al.Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity[J].Circ Cardiovasc Qual Outcomes,2012,5(2):222-228.
[10]Sündermann S,Dademasch A,Praetorius J,et al.Comprehensive assessment of frailty for elderly high-risk patients undergoing cardiac surgery[J].Eur J Cardiothorac Surg,2011,39(1):33-37.
[11]Shimura T,Yamamoto M,Kano S,et al.Impact of the clinical frailty scale on outcomes after transcatheter aortic valve replacement[J].Circulation,2017,135(21):2013-2024.
[12]Fitzgerald S,Yap CH,Zhang B,et al.Measuring frailty in elderly cardiac surgery patients:a pilot study[J].Heart Lung Circ,2015,24(1):e66-e67.
[13]Ad N,Holmes SD,Halpin L,et al.The effects of frailty in patients undergoing elective cardiac surgery[J].J Card Surg,2016,31(4):187-194.
[14]Chow WB,Rosenthal RA,Merkow RP,et al.Optimal preoperative assessment of the geriatricsurgical patient:a best practices guideline from the American college of surgeons national surgical quality improvement program and the American frail patients are at increased risk for mortality and prolonged institutio geriatrics society[J].J Am Coll Surg,2012,215(4):453-466.
[15]IV CHB,Max L,Laflam A,et al.The association between preoperative frailty and postoperative delirium after cardiac surgery[J].Anesth Analg,2016,123(2):430-435.
[16]Koh LY,Hwang NC.Frailty in cardiac surgery(2018)[EB/OL].[2018-08-25].http://doi.org/10.1053/j.jvca.2018.02.032.
[17]Abah U,Dunne M,Cook A,et al.Does quality of life improve in octogenarians following cardiac surgery?A systematic review[EB/OL].[2018-08-25].https://bmjopen.bmj.com/content/5/4/e006904.long.
[18]Lytwyn J,Stammers AN,Kehler DS,et al.The impact of frailty on functional survival in patients 1 year after cardiac surgery[J].J Thorac Cardiovasc Surg,2017,154(6):1990-1999.
[19]赵庆庆,张爱华,杨军,等.社区老年人衰弱的研究进展及对我国老年护理的启示[J].护理研究,2017,31(10):1160-1163.
[20]Rodríguezma觡as L,Féart C,Mann G,et al.Searching for an operationaldefinition of frailty:a delphi method based consensus statement.The frailty operative definition-consensus conference project[J].J Gerontol A Biol Sci Med Sci,2013,68(1):62-67.
[21]Fried LP,Tangen CM,Walston J,et al.Frailty in older adults:evidence for a phenotype[J].J Gerontol A Biol Sci Med Sci,2001,56(3):146-156.
[22]Bandeenroche K,Xue QL,Ferrucci L,et al.Phenotype of frailty:characterization in the women's health and aging studies[J].J Gerontol A Biol Sci Med Sci,2006,61(3):262-266.
[23]Graham A,Brown CH.Frailty,aging,and cardiovascular surgery[J].Anesth Analg,2017,124(4):1053-1060.
[24]Clegg A,Young J,Iliffe S,et al.Frailty in elderly people[J].Lancet,2013,381(9868):752-762.
[25]Ngwa VC,Kar S.Frailty and surgery[J].Br J Hosp Med,2016,77(2):102-106.
[26]Yanagawa B,Graham MM,Afilalo J,et al.Frailty as a risk predictor in cardiac surgery:beyond the eyeball test[J].J Thorac Cardiovasc Surg,2018,156(1):172-176.
[27]Kim DH,Kim CA,Placide S,et al.Preoperative frailty assessment and outcomes at 6 months or later in older adults undergoing cardiac surgical procedures:a systematic review[J].Ann Intern Med,2016,165(9):650-660.
[28]Khanh-Dao Le,Pharm B.Elderly elective patients:frailty assessment(2017)[EB/OL].[2018-08-25].http://ovidsp.tx.ovid.com/sp-3.31.1b/ovidweb.cgi?&S=COFBFPCBCDDDKGKLNCEKAAOBCCDLAA00&Link+Set=S.sh.21%7c1%7csl_190.
[29]Morley JE,Vellas B,Abellan van Kan G,et al.Frailty consensus:a call to action[J].J Am Med Dir Assoc,2013,14(6):392-397.
[30]Apostolo J,Cooke R,Bobrowicz-Campos E,et al.Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults:a systematic review[J].JBI Database System Rev Implement Rep,2018,16(1):140-232.
[31]Hulzebos HJ,Smit Y,van Meeteren N,et al.Preoperative physical therapy for elective cardiac surgery patients[M]//The Cochrane Library.John Wiley&Sons,Ltd,2012:CD010118.
[32]Sawatzky JA,Kehler DS,Ready AE,et al.Prehabilitation program for elective coronary artery bypass graft surgery patients:a pilot randomized controlled study[J].Clin Rehabil,2014,28(7):648-657.
[33]Volkert D,Berner YN,Berry E,et al.ESPEN guidelines on enteral nutrition:geriatrics[J].Clin Nutr,2006,25(2):330-360.
[34]Kim C,Lee KR,Kritchevsky S.Preventive effect of protein-energy supplementation on the functional decline of frail older adults with low socioeconomic status:a community-based randomized controlled study[J].J Gerontol A Biol Sci Med Sci,2013,68(3):309-316.
[35]Artaza-Artabe I,Sáez-López P,Sánchez-Hernández N,et al.The relationship between nutrition and frailty:effects of protein intake,nutritional supplementation,vitamin D and exercise on muscle metabolism in the elderly:a systematic review[J].Maturitas,2016,93:89-99.
[36]Abizanda P,López MD,García VP,et al.Effects of an oral nutritional supplementation plus physical exercise intervention on the physical function,nutritional status,and quality of life in frail institutionalized older adults:the ACTIVNES study[J].JAm Med Dir Assoc,2015,16(5):439.e9-439.e16.
[37]王守琦,石颖,张美玲,等.老年人衰弱干预的研究进展[J].中华护理杂志,2017,52(3):365-368.
[38]Cameron ID,Fairhall N,Langron C,et al.A multifactorial interdisciplinary intervention reduces frailty in older people:randomized trial[EB/OL].[2018-08-25].https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/1741-7015-11-65.
[39]Mohanty S,Rosenthal RA,Russell MM,et al.Optimal perioperative management of the geriatric patient:a best practices guideline from the American College of Surgeons NSQIP and the American Geriatrics Society[J].J Am Coll Surg,2016,222(5):930-947.
[40]Clarke SP,McRae ME,Del Signore S,et al.Delirium in older cardiac surgery patients:directions for practice[J].J Gerontol Nurs,2010,36(11):34-45.
[41]孙丹丹,柴文昭,郭海凌,等.不同类型谵妄在机械通气患者中的发生现状及临床结局比较[J].中华护理杂志,2018,53(7):778-782.
[42]吴琼,江智霞,潘燕彬,等.机械通气患者发生谵妄的影响因素分析[J].中华护理杂志,2018,53(5):543-547.
[43]张宁,朱鸣雷,刘晓红.美国老年医学会发布防治老年患者术后谵妄临床指南解读[J].中华老年医学杂志,2015,34(1):1-2.
[2]Bowry AD,Lewey J,Dugani SB,et al.The burden of cardiovascular disease in low and middle-income countries:epidemiology and management[J].Can J Cardiol,2015,31(9):1151-1159.
[3]Afilalo J,Eisenberg MJ,Morin JF,et al.Gait speed as an incremental predictor of mortality and major morbidity in elderly patients undergoing cardiac surgery[J].J Am Coll Cardiol,2010,56(20):1668-1676.
[4]Zalan J,Wilson R,Mcmullen M,et al.Frailty indices as a predictor of postoperative outcomes:a systematic review protocol[J].JBI Database System Rev Implement Rep,2015,13(8):30-40.
[5]Fried LP,Ferrucci L,Darer J,et al.Untangling the concepts of disability,frailty,and comorbidity:implications for improved targeting and care[J].J Gerontol A Biol Sci Med Sci,2004,59(3):255-263.
[6]Afilalo J,Lauck S,Kim DH,et al.Frailty in older adults undergoing aortic valve replacement:the FRAILTY-AVR study[J].JAm Coll Cardiol,2017,70(6):689-700.
[7]Lee DH,Buth KJ,Martin BJ,et al.Frail patients are at increased risk for mortality and prolonged institutional care after cardiac surgery[J].Circulation,2010,121(8):973-978.
[8]李畅妍,何华英.老年衰弱的护理评估及研究进展[J].护理研究,2016,30(12):4485-4488.
[9]Afilalo J,Mottillo S,Eisenberg MJ,et al.Addition of frailty and disability to cardiac surgery risk scores identifies elderly patients at high risk of mortality or major morbidity[J].Circ Cardiovasc Qual Outcomes,2012,5(2):222-228.
[10]Sündermann S,Dademasch A,Praetorius J,et al.Comprehensive assessment of frailty for elderly high-risk patients undergoing cardiac surgery[J].Eur J Cardiothorac Surg,2011,39(1):33-37.
[11]Shimura T,Yamamoto M,Kano S,et al.Impact of the clinical frailty scale on outcomes after transcatheter aortic valve replacement[J].Circulation,2017,135(21):2013-2024.
[12]Fitzgerald S,Yap CH,Zhang B,et al.Measuring frailty in elderly cardiac surgery patients:a pilot study[J].Heart Lung Circ,2015,24(1):e66-e67.
[13]Ad N,Holmes SD,Halpin L,et al.The effects of frailty in patients undergoing elective cardiac surgery[J].J Card Surg,2016,31(4):187-194.
[14]Chow WB,Rosenthal RA,Merkow RP,et al.Optimal preoperative assessment of the geriatricsurgical patient:a best practices guideline from the American college of surgeons national surgical quality improvement program and the American frail patients are at increased risk for mortality and prolonged institutio geriatrics society[J].J Am Coll Surg,2012,215(4):453-466.
[15]IV CHB,Max L,Laflam A,et al.The association between preoperative frailty and postoperative delirium after cardiac surgery[J].Anesth Analg,2016,123(2):430-435.
[16]Koh LY,Hwang NC.Frailty in cardiac surgery(2018)[EB/OL].[2018-08-25].http://doi.org/10.1053/j.jvca.2018.02.032.
[17]Abah U,Dunne M,Cook A,et al.Does quality of life improve in octogenarians following cardiac surgery?A systematic review[EB/OL].[2018-08-25].https://bmjopen.bmj.com/content/5/4/e006904.long.
[18]Lytwyn J,Stammers AN,Kehler DS,et al.The impact of frailty on functional survival in patients 1 year after cardiac surgery[J].J Thorac Cardiovasc Surg,2017,154(6):1990-1999.
[19]赵庆庆,张爱华,杨军,等.社区老年人衰弱的研究进展及对我国老年护理的启示[J].护理研究,2017,31(10):1160-1163.
[20]Rodríguezma觡as L,Féart C,Mann G,et al.Searching for an operationaldefinition of frailty:a delphi method based consensus statement.The frailty operative definition-consensus conference project[J].J Gerontol A Biol Sci Med Sci,2013,68(1):62-67.
[21]Fried LP,Tangen CM,Walston J,et al.Frailty in older adults:evidence for a phenotype[J].J Gerontol A Biol Sci Med Sci,2001,56(3):146-156.
[22]Bandeenroche K,Xue QL,Ferrucci L,et al.Phenotype of frailty:characterization in the women's health and aging studies[J].J Gerontol A Biol Sci Med Sci,2006,61(3):262-266.
[23]Graham A,Brown CH.Frailty,aging,and cardiovascular surgery[J].Anesth Analg,2017,124(4):1053-1060.
[24]Clegg A,Young J,Iliffe S,et al.Frailty in elderly people[J].Lancet,2013,381(9868):752-762.
[25]Ngwa VC,Kar S.Frailty and surgery[J].Br J Hosp Med,2016,77(2):102-106.
[26]Yanagawa B,Graham MM,Afilalo J,et al.Frailty as a risk predictor in cardiac surgery:beyond the eyeball test[J].J Thorac Cardiovasc Surg,2018,156(1):172-176.
[27]Kim DH,Kim CA,Placide S,et al.Preoperative frailty assessment and outcomes at 6 months or later in older adults undergoing cardiac surgical procedures:a systematic review[J].Ann Intern Med,2016,165(9):650-660.
[28]Khanh-Dao Le,Pharm B.Elderly elective patients:frailty assessment(2017)[EB/OL].[2018-08-25].http://ovidsp.tx.ovid.com/sp-3.31.1b/ovidweb.cgi?&S=COFBFPCBCDDDKGKLNCEKAAOBCCDLAA00&Link+Set=S.sh.21%7c1%7csl_190.
[29]Morley JE,Vellas B,Abellan van Kan G,et al.Frailty consensus:a call to action[J].J Am Med Dir Assoc,2013,14(6):392-397.
[30]Apostolo J,Cooke R,Bobrowicz-Campos E,et al.Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults:a systematic review[J].JBI Database System Rev Implement Rep,2018,16(1):140-232.
[31]Hulzebos HJ,Smit Y,van Meeteren N,et al.Preoperative physical therapy for elective cardiac surgery patients[M]//The Cochrane Library.John Wiley&Sons,Ltd,2012:CD010118.
[32]Sawatzky JA,Kehler DS,Ready AE,et al.Prehabilitation program for elective coronary artery bypass graft surgery patients:a pilot randomized controlled study[J].Clin Rehabil,2014,28(7):648-657.
[33]Volkert D,Berner YN,Berry E,et al.ESPEN guidelines on enteral nutrition:geriatrics[J].Clin Nutr,2006,25(2):330-360.
[34]Kim C,Lee KR,Kritchevsky S.Preventive effect of protein-energy supplementation on the functional decline of frail older adults with low socioeconomic status:a community-based randomized controlled study[J].J Gerontol A Biol Sci Med Sci,2013,68(3):309-316.
[35]Artaza-Artabe I,Sáez-López P,Sánchez-Hernández N,et al.The relationship between nutrition and frailty:effects of protein intake,nutritional supplementation,vitamin D and exercise on muscle metabolism in the elderly:a systematic review[J].Maturitas,2016,93:89-99.
[36]Abizanda P,López MD,García VP,et al.Effects of an oral nutritional supplementation plus physical exercise intervention on the physical function,nutritional status,and quality of life in frail institutionalized older adults:the ACTIVNES study[J].JAm Med Dir Assoc,2015,16(5):439.e9-439.e16.
[37]王守琦,石颖,张美玲,等.老年人衰弱干预的研究进展[J].中华护理杂志,2017,52(3):365-368.
[38]Cameron ID,Fairhall N,Langron C,et al.A multifactorial interdisciplinary intervention reduces frailty in older people:randomized trial[EB/OL].[2018-08-25].https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/1741-7015-11-65.
[39]Mohanty S,Rosenthal RA,Russell MM,et al.Optimal perioperative management of the geriatric patient:a best practices guideline from the American College of Surgeons NSQIP and the American Geriatrics Society[J].J Am Coll Surg,2016,222(5):930-947.
[40]Clarke SP,McRae ME,Del Signore S,et al.Delirium in older cardiac surgery patients:directions for practice[J].J Gerontol Nurs,2010,36(11):34-45.
[41]孙丹丹,柴文昭,郭海凌,等.不同类型谵妄在机械通气患者中的发生现状及临床结局比较[J].中华护理杂志,2018,53(7):778-782.
[42]吴琼,江智霞,潘燕彬,等.机械通气患者发生谵妄的影响因素分析[J].中华护理杂志,2018,53(5):543-547.
[43]张宁,朱鸣雷,刘晓红.美国老年医学会发布防治老年患者术后谵妄临床指南解读[J].中华老年医学杂志,2015,34(1):1-2.