Cirurgia ortopédica em idosos: aspectos clínicos
A atenção a pacientes idosos submetidos à cirurgia ortopédica, particularmente os que necessitam de cirurgia de urgência, deve levar em conta a análise da capacidade física e de riscos específicos dos indivíduos idosos, na tentativa de reduzir riscos que, no entanto, permanecem elevados neste grupo....
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| Published in: | Revista brasileira de ortopedia Vol. 46; no. 3; pp. 238 - 246 |
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| Abstract | A atenção a pacientes idosos submetidos à cirurgia ortopédica, particularmente os que necessitam de cirurgia de urgência, deve levar em conta a análise da capacidade física e de riscos específicos dos indivíduos idosos, na tentativa de reduzir riscos que, no entanto, permanecem elevados neste grupo. Apesar dos riscos, procedimentos desenvolvidos com prontidão têm efeito positivo na evolução destes pacientes. A atenção coordenada integrada por equipe clínica/geriátrica, ortopédica, anestésica, intensivistas e demais profissionais de saúde pode ser altamente benéfica neste grupo de pacientes. |
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| AbstractList | A atenção a pacientes idosos submetidos à cirurgia ortopédica, particularmente os que necessitam de cirurgia de urgência, deve levar em conta a análise da capacidade física e de riscos específicos dos indivíduos idosos, na tentativa de reduzir riscos que, no entanto, permanecem elevados neste grupo. Apesar dos riscos, procedimentos desenvolvidos com prontidão têm efeito positivo na evolução destes pacientes. A atenção coordenada integrada por equipe clínica/geriátrica, ortopédica, anestésica, intensivistas e demais profissionais de saúde pode ser altamente benéfica neste grupo de pacientes. |
| Author | Toledo, Manuella Sitta, Maria do Carmo Henriques, Simone da Silva Leme, Luiz Eugênio Garcez |
| AuthorAffiliation | Universidade de São Paulo |
| AuthorAffiliation_xml | – name: Universidade de São Paulo |
| Author_xml | – sequence: 1 givenname: Luiz Eugênio Garcez surname: Leme fullname: Leme, Luiz Eugênio Garcez organization: Universidade de São Paulo – sequence: 2 givenname: Maria do Carmo surname: Sitta fullname: Sitta, Maria do Carmo organization: Universidade de São Paulo – sequence: 3 givenname: Manuella surname: Toledo fullname: Toledo, Manuella organization: Universidade de São Paulo – sequence: 4 givenname: Simone da Silva surname: Henriques fullname: Henriques, Simone da Silva organization: Universidade de São Paulo |
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| Keywords | Aged Idoso Emergency Medicine Cirurgia Ortopédica Orthopedic Medicina de Urgência |
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| References_xml | – volume: 27 start-page: 910 issue: 4 year: 1996 end-page: 48 article-title: Guidelines for perioperative cardiovascular evaluation for noncardiac surgery: Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) publication-title: J Am Coll Cardiol contributor: fullname: Eagle, KA; Brundage, BH; Chaitman, BR; Ewy, GA; Fleisher, LA; Hertzer, NR – volume: 35 start-page: 148 issue: 2 year: 2006 end-page: 53 article-title: Using dietetic assistants to improve the outcome of hip fracture: a randomised controlled trial of nutritional support in an acute trauma ward publication-title: Age Ageing contributor: fullname: Duncan, DG; Beck, SJ; Hood, K; Johansen, A – volume: 340 start-page: 937 issue: 12 year: 1999 end-page: 44 article-title: Preoperative pulmonary evaluation publication-title: N Engl J Med contributor: fullname: Smetana, GW – volume: 62 start-page: 545 issue: 5 year: 2007 end-page: 52 article-title: Impact of delirium on mortality and cognitive and functional performance among elderly people with femoral fractures publication-title: Clinics (Sao Paulo) contributor: fullname: Furlaneto, ME; Garcez-Leme, LE – volume: 72 start-page: 286 issue: 3 year: 1994 end-page: 90 article-title: Postoperative delirium: treatment with supplementary oxygen publication-title: Br J Anaesth contributor: fullname: Aakerlund, LP; Rosenberg, J – volume: 23 start-page: 263 year: 2003 end-page: 82 article-title: Nutrition in the perioperative patient publication-title: Annu Rev Nutr contributor: fullname: Howard, L; Ashley, C – volume: 336 start-page: 1506 issue: 21 year: 1997 end-page: 11 article-title: Management of anticoagulation before and after elective surgery publication-title: N Engl J Med contributor: fullname: Kearon, C; Hirsh, J – volume: 2 start-page: 86 issue: 2 year: 2008 end-page: 94 article-title: Avaliação perioperatória do idoso publication-title: Geriatr Gerontol contributor: fullname: Sitta, MC; Machado, AN; Apolinário, D; Garcez-Leme, LE – volume: 65 start-page: 28 issue: 1/2 year: 2008 end-page: 33 article-title: Delirium publication-title: RBM Rev Bras Med contributor: fullname: Prado, LK; Machado, AN; Curiatti, JAE; Sitta, MC – volume: 331 start-page: 932 issue: 7522 year: 2005 article-title: Beta blockers for elective surgery in elderly patients: population based, retrospective cohort study publication-title: BMJ contributor: fullname: Redelmeier, D; Scales, D; Kopp, A – volume: 4 start-page: 24 issue: 6 year: 2006 end-page: 8 article-title: Preoperative Management of the Older Patient publication-title: Clin Geriatr contributor: fullname: Williams, SL; Jones, PB; Pofahl, WE – volume: 114 start-page: 1704 issue: 6 year: 1999 end-page: 33 article-title: Geriatric respiratory medicine publication-title: Chest contributor: fullname: Chan, ED; Welsh, CH – volume: 17 start-page: 851 issue: 4 year: 1991 end-page: 7 article-title: Perioperative myocardial ischemia in patients undergoing noncardiac surgery--II: Incidence and severity during the 1st week after surgery. The Study of Perioperative Ischemia (SPI) Research Group publication-title: J Am Coll Cardiol contributor: fullname: Mangano, DT; Wong, MG; London, MJ; Tubau, JF; Rapp, JA – start-page: 212 issue: 451 year: 2006 end-page: 7 article-title: Nutritional supplementation decreases hip fracture-related complications publication-title: Clin Orthop Relat Res contributor: fullname: Eneroth, M; Olsson, UB; Thorngren, KG – volume: 331 start-page: 313 issue: 7512 year: 2005 end-page: 21 article-title: How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery: Systematic review and meta-analysis of randomised controlled trials publication-title: BMJ contributor: fullname: Devereaux, PJ; Beattie, WS; Choi, PT; Badner, NH; Guyatt, GH; Villar, JC – volume: 63 start-page: 151 issue: 2 year: 2008 end-page: 6 article-title: Prognostic factors for mortality among patients above the 6th decade undergoing non-cardiac surgery: cares--clinical assessment and research in elderly surgical patients publication-title: Clinics (Sao Paulo) contributor: fullname: Machado, AN; Sitta Mdo, C; Jacob Filho, W; Garcez-Leme, LE – volume: 354 start-page: 1157 issue: 11 year: 2006 end-page: 65 article-title: Delirium in older persons publication-title: N Engl J Med contributor: fullname: Inouye, SK – volume: 371 start-page: 1839 issue: 9627 year: 2008 end-page: 47 article-title: Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial publication-title: Lancet contributor: fullname: Devereaux, PJ; Yang, H; Yusuf, S; Guyatt, G; Leslie, K; Villar, JC – start-page: 249 year: 2007 end-page: 63 publication-title: Propedêutica cirúrgica contributor: fullname: Pires, PW; Branco, PD; Sitta, MC; Birolini, D; Utiyama, EM; Otoch, JP; Rasslan, S – volume: 287 start-page: 1435 issue: 11 year: 2002 end-page: 44 article-title: Beta-Blockers and reduction of cardiac events in noncardiac surgery: scientific review publication-title: JAMA contributor: fullname: Auerbach, AD; Goldman, L – volume: 232 start-page: 242 issue: 2 year: 2000 end-page: 53 article-title: Multifactorial risk index for predicting postoperative respiratory failure in men after major noncardiac surgery: The National Veterans Administration Surgical Quality Improvement Program publication-title: Ann Surg contributor: fullname: Arozullah, AM; Daley, J; Henderson, WG; Khuri, SF – volume: 64 start-page: 1201 issue: 12 year: 2009 end-page: 4 article-title: Identification and treatment of osteoporosis among elderly patients with hip fractures publication-title: Clinics contributor: fullname: Satomi, E; Sitta, MC; Machado, NA; Garcez-Leme, LE – volume: 134 start-page: 637 issue: 8 year: 2001 end-page: 43 article-title: Impact of age on perioperative complications and length of stay in patients undergoing noncardiac surgery publication-title: Ann Intern Med contributor: fullname: Polanczyk, CA; Marcantonio, E; Goldman, L; Rohde, LE; Orav, J; Mangione, CM – volume: 144 start-page: 581 issue: 8 year: 2006 end-page: 95 article-title: Preoperative pulmonary risk stratification for noncardiothoracic surgery: systematic review for the American College of Physicians publication-title: Ann Intern Med contributor: fullname: Smetana, GW; Lawrence, VA; Cornell, JE – volume: 114 start-page: 763 issue: 9 year: 2003 end-page: 4 article-title: Evidence-based perioperative risk reduction publication-title: Am J Med contributor: fullname: Goldman, L – volume: 353 start-page: 349 issue: 4 year: 2005 end-page: 61 article-title: Perioperative beta-blocker therapy and mortality after major noncardiac surgery publication-title: N Engl J Med contributor: fullname: Lindenauer, PK; Pekow, P; Wang, K; Mamidi, DK; Gutierrez, B; Benjamin, EM – year: 2004 publication-title: Perioperatório: procedimentos clínicos contributor: fullname: Machado, FS; Martins, MA; Caramelli, B |
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| Title | Cirurgia ortopédica em idosos: aspectos clínicos |
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