Yanhong Zhang1,2, Lina Ma3, Tianlong Wang4, Wei Xiao4, Shibao Lu5, Chao Kong5, Chaodong Wang2, Xiaoying Li1, Yun Li3, Chunlin Yin6, Suying Yan7, Ying Li8, Kun Yang9, Piu Chan10,11,12. 1. Medical Administration Division, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 2. China National Clinical Research Center for Geriatric Disorders, Beijing, 100053, China. 3. Department of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 4. Department of Anesthesiology, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 5. Department of Orthopaedics, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 6. Department of Cardiology, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 7. Department of Pharmacy, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 8. Department of Nutrition, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 9. Department of Evidence-based Medicine, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. 10. China National Clinical Research Center for Geriatric Disorders, Beijing, 100053, China. pbchan90@gmail.com. 11. Department of Neurology and Neurobiology, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. pbchan90@gmail.com. 12. Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, 100053, China. pbchan90@gmail.com.
Abstract
BACKGROUND: With the extended life expectancy of the Chinese population and improvements in surgery and anesthesia techniques, the number of aged patients undergoing surgery has been increasing annually. However, safety, effectiveness, and quality of life of aged patients undergoing surgery are facing major challenges. In order to standardize the perioperative assessment and procedures, we have developed a perioperative evaluation and auxiliary decision-making system named "Aged Patient Perioperative Longitudinal Evaluation-Multidisciplinary Trial (APPLE-MDT)". METHODS: We will conduct a perioperative risk evaluation and targeted intervention, with follow-ups at 1, 3, and 6 months after surgery. The primary objective of the study is to evaluate the effectiveness of the "Aged Patient Perioperative Longitudinal Evaluation-Multiple Disciplinary Trial Path" (hereinafter referred to as the APPLE-MDT path) in surgical decision-making for aged patients (≥75 years) undergoing elective surgery under non-local anesthesia in the operating room. The secondary objectives of the study are to evaluate the postoperative outcome and health economics of the APPLE-MDT path applied to the surgical decision-making of aged patients (≥75 years) undergoing elective surgery under non-local anesthesia and to optimize intervention strategies for aged patients undergoing surgery to reduce the occurrence of postoperative complications and improve the quality of life after surgery. DISCUSSION: It is necessary to formulate a reliable, effective, and concise evaluation tool, which can effectively predict the perioperative complications and mortality of aged patients, support targeted intervention strategies, and allow for a more comprehensive risk and benefit analysis, thereby forming an effective senile perioperative surgery management path. It is expected that the implementation of this protocol can reduce the occurrence of postoperative complications, improve the postoperative quality of life, shorten hospital stay, reduce hospitalization expenses, reduce social burden, and allow the elderly to have a good quality of life after surgery. TRIAL REGISTRATION: ChiCTR, ChiCTR1800020363 , Registered 15 December 2018.
BACKGROUND: With the extended life expectancy of the Chinese population and improvements in surgery and anesthesia techniques, the number of aged patients undergoing surgery has been increasing annually. However, safety, effectiveness, and quality of life of aged patients undergoing surgery are facing major challenges. In order to standardize the perioperative assessment and procedures, we have developed a perioperative evaluation and auxiliary decision-making system named "Aged Patient Perioperative Longitudinal Evaluation-Multidisciplinary Trial (APPLE-MDT)". METHODS: We will conduct a perioperative risk evaluation and targeted intervention, with follow-ups at 1, 3, and 6 months after surgery. The primary objective of the study is to evaluate the effectiveness of the "Aged Patient Perioperative Longitudinal Evaluation-Multiple Disciplinary Trial Path" (hereinafter referred to as the APPLE-MDT path) in surgical decision-making for aged patients (≥75 years) undergoing elective surgery under non-local anesthesia in the operating room. The secondary objectives of the study are to evaluate the postoperative outcome and health economics of the APPLE-MDT path applied to the surgical decision-making of aged patients (≥75 years) undergoing elective surgery under non-local anesthesia and to optimize intervention strategies for aged patients undergoing surgery to reduce the occurrence of postoperative complications and improve the quality of life after surgery. DISCUSSION: It is necessary to formulate a reliable, effective, and concise evaluation tool, which can effectively predict the perioperative complications and mortality of aged patients, support targeted intervention strategies, and allow for a more comprehensive risk and benefit analysis, thereby forming an effective senile perioperative surgery management path. It is expected that the implementation of this protocol can reduce the occurrence of postoperative complications, improve the postoperative quality of life, shorten hospital stay, reduce hospitalization expenses, reduce social burden, and allow the elderly to have a good quality of life after surgery. TRIAL REGISTRATION: ChiCTR, ChiCTR1800020363 , Registered 15 December 2018.
Authors: Judith S L Partridge; Geraint Collingridge; Adam Lee Gordon; Finbarr C Martin; Danielle Harari; Jugdeep K Dhesi Journal: Age Ageing Date: 2014-08-04 Impact factor: 10.668
Authors: César Aldecoa; Gabriella Bettelli; Federico Bilotta; Robert D Sanders; Riccardo Audisio; Anastasia Borozdina; Antonio Cherubini; Christina Jones; Henrik Kehlet; Alasdair MacLullich; Finn Radtke; Florian Riese; Arjen J C Slooter; Francis Veyckemans; Sylvia Kramer; Bruno Neuner; Bjoern Weiss; Claudia D Spies Journal: Eur J Anaesthesiol Date: 2017-04 Impact factor: 4.330