Research progress on the risk management of frailty-oriented pneumonia after neurointervention in the elderly

doi:10.11958/20253188

Abstract

Abstract:

The management of pneumonia risk in elderly patients after neurointerventional treatment has become the focus of clinical attention. Frailty, as a clinical syndrome characterized by the exhaustion of multi-system physiological reserves, is an independent predictor of adverse events after surgery. This article systematically reviews the key role of frailty and the clinical response strategies in the management of pneumonia risk after neurointerventional surgery in the elderly, analyzes the multi-dimensional concept of frailty, and reviews the application characteristics and selection logic of different frailty assessment scales in the neurointerventional setting. On this basis, a multidisciplinary collaborative care pathway, risk prevention and control system oriented by frailty assessment are constructed. Through the systematic integration of frailty management concepts, it provides theoretical basis and practical framework for improving the perioperative safety of elderly patients undergoing neurointerventional treatment.

Key words: stroke, pneumonia, aged, frailty, neurointerventional procedures, risk management

CLC Number:

R197.323，R743

Figures/Tables 1

References 46

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评估工具	核心评估维度	耗时	主要优点	主要局限性	适用场景
CFS^[7]	共病、功能依赖	1~2 min	极快，操作简便，无需特殊设备	相对主观，依赖评估者经验	急诊、分诊、住院患者快速风险筛查
FRAIL量表^[8]	疲劳、阻力、活动能力、疾病数、体重	1~3 min	简单快捷，患者可自评，预测死亡/跌倒风险佳	依赖患者主观陈述，在认知受损或沟通不畅者中准确性下降	门诊、社区及大型流行病学研究
Fried表型^[9]	握力、步速、体力活动、疲惫感、体重	10~15 min	客观量化，标准化程度高	非快速筛查工具，需设备支持，耗时较长	科学研究、流行病学调查
CGA^[10-11]	疾病、功能、认知、心理、社会、营养	>30 min	最全面，直接指导个体化治疗	耗时，需多学科团队	制定复杂患者管理计划

评估工具	核心评估维度	耗时	主要优点	主要局限性	适用场景
CFS^[7]	共病、功能依赖	1~2 min	极快，操作简便，无需特殊设备	相对主观，依赖评估者经验	急诊、分诊、住院患者快速风险筛查
FRAIL量表^[8]	疲劳、阻力、活动能力、疾病数、体重	1~3 min	简单快捷，患者可自评，预测死亡/跌倒风险佳	依赖患者主观陈述，在认知受损或沟通不畅者中准确性下降	门诊、社区及大型流行病学研究
Fried表型^[9]	握力、步速、体力活动、疲惫感、体重	10~15 min	客观量化，标准化程度高	非快速筛查工具，需设备支持，耗时较长	科学研究、流行病学调查
CGA^[10-11]	疾病、功能、认知、心理、社会、营养	>30 min	最全面，直接指导个体化治疗	耗时，需多学科团队	制定复杂患者管理计划