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Volume 12 Issue 4
Jul.  2021
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YU Jiren, WANG E, WANG Difen, CANG Jing, FENG Yi, ZHANG Xijing, YANG Yi, YANG Yunmei, WU Shuijing, WANG Weijian, DU Bin, SHANG You, LIN Ru, CHENG Baoli, XIE Guohao, FANG Xiangming. Expert Consensus on Perioperative Management of Elderly Septic Patients (2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(4): 481-489. DOI: 10.12290/xhyxzz.2021-0312
Citation: YU Jiren, WANG E, WANG Difen, CANG Jing, FENG Yi, ZHANG Xijing, YANG Yi, YANG Yunmei, WU Shuijing, WANG Weijian, DU Bin, SHANG You, LIN Ru, CHENG Baoli, XIE Guohao, FANG Xiangming. Expert Consensus on Perioperative Management of Elderly Septic Patients (2021)[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(4): 481-489. DOI: 10.12290/xhyxzz.2021-0312
shu

Expert Consensus on Perioperative Management of Elderly Septic Patients (2021)

  • 1.

    Department of Gastrointestinal Surgery, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

  • 2.

    Department of Anesthesiology, Xiangya Hospital, Central South University, Changsha 410008, China

  • 3.

    Department of Critical Care Medicine, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China

  • 4.

    Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai 200032, China

  • 5.

    Department of Anesthesiology, Peking University People's Hospital, Beijing 100044, China

  • 6.

    Department of Critical Care Medicine, Xijing Hospital, Air Force Medical University, Xi'an 710032, China

  • 7.

    Department of Critical Care Medicine, Zhongda Hospital Southeast University, Nanjing 210009, China

  • 8.

    Department of Geriatrics, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

  • 9.

    Department of Anesthesiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China

  • 10.

    Department of Anesthesiology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China

  • 11.

    Medical Intensive Care Unit, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China

  • 12.

    Department of Intensive Care Unit, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China

  • 13.

    Department of Extracorporeal Circulation and Extracorporeal Life Support, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310051, China

Funds: 

National Key Research and Development Program of China 2018YFC2001904

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  • Corresponding author:

    FANG Xiangming  Tel: 86-571-88208006, E-mail: xmfang@zju.edu.cn

  • Received Date: April 05, 2021
  • Accepted Date: April 28, 2021
  • Issue Publish Date: July 29, 2021
    Graphical Abstract
    • Abstract
  • As the increasing of the aging population, the number of elderly surgical patients has increased exponentially.In elderly patients, a number of risk factors, such as comorbidities, premedication status, malnutrition, weakness, and impaired function of the immune system (or immune senescence), which are associated with a higher susceptibility to sepsis.These factors not only increase the risk of sepsis, but also lead to more severe manifestations of infection and may be associated with higher mortality.Elderly patients with sepsis had a poor prognosis compared to non-elderly patients, but there was no significant difference in the treatment.In addition, the survivors of elderly septic patients also had poorer quality of life.Therefore, in order to optimize the perioperative management of elderly patients, clinical experts from relevant disciplines discussed this issue and formulated this consensus.
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    • References (45)
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