Implementation of a proactive comprehensive geriatric assessment service for older emergency general surgical patients reduced the median length of hospital stay from 12.2 days to 9 days.
Proactive comprehensive geriatric assessment and multidisciplinary interventions can reduce length of stay and improve care coordination for older emergency general surgery patients.
Absolute Event Rate: 9% vs 12.2%
Increasing numbers of older patients require Emergency admission under General Surgery (EGS). This is a group of heterogeneous and often complex individuals with varying degrees of multimorbidity, polypharmacy, functional, mobility and cognitive impairment. Our article describes the benefits of comprehensive assessment coupled with patient-centred multiprofessional interventions and timely discharge planning. We discuss diverse service models and describe our experience in the planning, development and consolidation of a perioperative service for older EGS patients.
Vilches‐Moraga et al. (Tue,) conducted a review in Emergency general surgery (n=1,300). Salford-POPS-GS (Comprehensive Geriatric Assessment and multidisciplinary interventions) vs. Care prior to service consolidation was evaluated on Median length of stay (days). Implementation of a proactive comprehensive geriatric assessment service for older emergency general surgical patients reduced the median length of hospital stay from 12.2 days to 9 days.
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