Критерии оценки качества медицинской помощи




Критерии качества Уровень достоверности доказательств Уровень убедительности рекомендаций
Этап постановки диагноза
  Произведена оценка когнитивной функции до операции IIa B
  Проведена оценка нутритивного статуса I B
  Выполнена оценка наличия старческой астении IIa C
  Определен риск сердечно-сосудистых осложнений IIa B
  Определен риск респираторных осложнений IIa C
Этап лечения
  Из лечения исключены препараты, не рекомендованные у пожилых пациентов I B
  Дозы применяемых препаратов были скорректированы с учетом возраста I A
  Производилась термометрия и профилактика гипотермии IIa B
  Осуществлялся интраоперационный мониторинг показателей гемодинамики и уровня седации IIa B
  Проводилась целевая инфузионная терапия или инфузионная терапия «нулевого баланса» IIa B
  Применялись меры по профилактике травматизации при позиционировании IIa C
  Применялись методы регионарной анестезии в ортопедии с учетом противопоказаний IIa B
  Проводилась мультимодальная послеоперационная анальгезия и мониторинг выраженности болевого синдрома специфическими шкалами I A
  Осуществлялась профилактика и лечение послеоперационного делирия I B
  Оценивалась когнитивная функция в послеоперационный период IIa B
  Проводилась нутриционная поддержка IIa B
  Применялись меры по профилактике послеоперационных лёгочных осложнений I B

 

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