Key result
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.
Absolute Event Rate: 9% vs 12.2%
Proactive comprehensive geriatric assessment and multidisciplinary interventions can reduce length of stay and improve care coordination for older emergency general surgery patients.
Supports potential LOS reduction with geriatric assessment in older emergency surgery; hypothesis-generating pending randomized confirmation.
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.
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Vilches‐Moraga et al. (2018) 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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