Beyond the artery: comprehensive geriatric care as a new benchmark for chronic limb-threatening ischaemia.

This article focuses on the implementation and evaluation of the Vascular-Perioperative medicine for Older People undergoing Surgery (POPS) model in managing Chronic Limb-Threatening Ischaemia (CLTI), a complex syndrome involving ageing, frailty, multimorbidity, and social vulnerability. It highligh...

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Publicado en:Age & Ageing Vol. 55; no. 2; pp. 1 - 4
Autores principales: Saratzis, Athanasios, Partridge, Judith S L
Formato: Artículo
Publicado: Oxford University Press / USA Feb2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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          Saratzis, Athanasios
          Partridge, Judith S L
        affil:
          Cardiovascular Sciences, University of Leicester College of Life Sciences, Leicester, United Kingdom of Great Britain and Northern Ireland
          Consultant Geriatrician London, Guy's and St Thomas' NHS Foundation Trust, England, Leicester, United Kingdom of Great Britain and Northern IrelandDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland
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        United Kingdom
        Elder care
        Decision making
        Cognition disorder risk factors
        National health services
        Risk assessment
        Ischemia
        Peripheral vascular diseases
        Frail elderly
        Vascular surgery
        Geriatric assessment
        Delirium
        Length of stay in hospitals
        Perioperative care
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          Elder care
          Decision making
          United Kingdom
          Continuing Care Retirement Communities
          Cognition disorder risk factors
          National health services
          Risk assessment
          Ischemia
          Peripheral vascular diseases
          Frail elderly
          Vascular surgery
          Geriatric assessment
          Delirium
          Length of stay in hospitals
          Perioperative care
      keyword:
        chronic limb-threatening ischaemia
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        https://dx.doi.org/10.1093/ageing/afag042
        inLanguage:en
        perioperative care of older people undergoing surgery
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41739749/
        surgery
        vascular
        chronic limb-threatening ischaemia
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        https://dx.doi.org/10.1093/ageing/afag042
        inLanguage:en
        perioperative care of older people undergoing surgery
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/41739749/
        surgery
        vascular
      ab: This article focuses on the implementation and evaluation of the Vascular-Perioperative medicine for Older People undergoing Surgery (POPS) model in managing Chronic Limb-Threatening Ischaemia (CLTI), a complex syndrome involving ageing, frailty, multimorbidity, and social vulnerability. It highlights that comprehensive geriatric assessment (CGA)-based co-management significantly improves clinical outcomes, reduces complications, length of stay, and mortality in older vascular surgery patients, including those undergoing emergency procedures. The study demonstrates that CGA-led care is both clinically effective and financially sustainable, advocating for its adoption as a standard practice across surgical specialties to better address the multifaceted needs of older patients. The article also emphasizes the need for broader inclusion of frail older adults in research and for outcome measures that reflect functional and cognitive status alongside traditional surgical metrics.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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